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1184921926
JACKIE LOU COOPER
KLAMATH FALLS, OR
NPI
1184921926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 10-06-51U)
Enumeration Date
2011-02-14
Last Update Date
2016-03-22
Business Address
Mrs. JACKIE LOU COOPER CADC 1
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
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Mailing Address
Mrs. JACKIE LOU COOPER CADC 1
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
Copy
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