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1194146936
KELLY COOPER
SOMERSET, KY
NPI
1194146936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 101588)
Enumeration Date
2013-12-20
Last Update Date
2013-12-20
Business Address
-- KELLY COOPER CADC
401 BOGLE ST SUITE 102
SOMERSET, KY 42503-3823
Phone number: 606-676-0638
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Mailing Address
-- KELLY COOPER CADC
401 BOGLE ST SUITE 102
SOMERSET, KY 42503-3823
Phone number: 606-676-0638
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