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1205202322
DIANE COOPER
MANDEVILLE, LA
NPI
1205202322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 4727)
Enumeration Date
2015-08-12
Last Update Date
2015-08-12
Business Address
-- DIANE COOPER LCSW
8 SONNY LN
MANDEVILLE, LA 70448-2267
Phone number: 985-373-6953
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Mailing Address
-- DIANE COOPER LCSW
8 SONNY LANE
MANDEVILLE, LA 70448
Phone number: 985-373-6953
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