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1366999617
CARLY COOPER
SAINT LOUIS, MO
NPI
1366999617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2016024157)
Enumeration Date
2016-09-03
Last Update Date
2017-02-15
Business Address
-- CARLY COOPER LCSW
408 N EUCLID AVE SUITE3S
SAINT LOUIS, MO 63108-1641
Phone number: 314-607-8444
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Mailing Address
-- CARLY COOPER LCSW
805 BELLERIVE MANOR DR
SAINT LOUIS, MO 63141-3202
Phone number: 314-607-8444
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