DIANE M COOPER

PORTLAND, OR
NPI1104262328
Other NameDEE M COOPER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  3927)
Additional Taxonomies104100000X Social Worker
(Licence: NY  060662)
Enumeration Date2013-05-14
Last Update Date2013-05-14
Business Address
-- DIANE M COOPER LCSW
10819 SW CANTERBURY LN 203
PORTLAND, OR 97224-3848
Phone number: 503-308-2408
Mailing Address
-- DIANE M COOPER LCSW
10819 SW CANTERBURY LN 203
PORTLAND, OR 97224-3848
Phone number: