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1225591258
MICALA COOPER
TAHLEQUAH, OK
NPI
1225591258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 6707-p)
Enumeration Date
2019-04-08
Last Update Date
2019-04-08
Business Address
MICALA COOPER
1510 E SHAWNEE CIR
TAHLEQUAH, OK 74464-2528
Phone number: 918-772-4004
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Mailing Address
MICALA COOPER
1510 SHAWNEE CIRCLE
TAHLEQUAH, OK 74464
Phone number: 918-772-4004
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