STACEY COOPER

BOISE, ID
NPI1134615305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-42921)
Enumeration Date2018-07-10
Last Update Date2023-07-19
Business Address
STACEY COOPER LCSW
3606 W MOORE ST
BOISE, ID 83703-5725
Phone number: 208-779-1582
Mailing Address
STACEY COOPER LCSW
977 SW 3RD ST
ONTARIO, OR 97914-3536
Phone number: 208-779-1582
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