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1073967683
RYAN COOPER
ROSEBURG, OR
NPI
1073967683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
104100000X Social Worker
(Licence: OR A4369)
Enumeration Date
2016-04-20
Last Update Date
2019-05-07
Business Address
RYAN COOPER MSW
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-440-3532
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Mailing Address
RYAN COOPER MSW
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-440-3532
Copy
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