TRACY IRENETTE COOPER

ROCKY MOUNT, NC
NPI1639660905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  15432)
Enumeration Date2018-05-22
Last Update Date2018-06-01
Business Address
Mrs. TRACY IRENETTE COOPER LCAS A
130 JONES RD
ROCKY MOUNT, NC 27804
Phone number: 252-443-0480
Mailing Address
Mrs. TRACY IRENETTE COOPER LCAS A
1261 KATHERINE TRL
ROCKY MOUNT, NC 27804-9362
Phone number: 252-822-1243
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