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1043652969
JESSICA M COOPER
ELIZABETHTOWN, KY
NPI
1043652969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 5094)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2013-07-19
Last Update Date
2016-03-01
Business Address
-- JESSICA M COOPER LCSW
1311 N DIXIE HWY
ELIZABETHTOWN, KY 42701-2621
Phone number: 270-769-1304
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Mailing Address
-- JESSICA M COOPER LCSW
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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