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1801645403
AUSTIN J COOPER
COEUR D ALENE, ID
NPI
1801645403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID 45147)
Enumeration Date
2024-05-15
Last Update Date
2024-05-15
Business Address
AUSTIN J COOPER LMSW
6795 N MINERAL DR
COEUR D ALENE, ID 83815-8700
Phone number: 208-659-6785
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Mailing Address
AUSTIN J COOPER LMSW
6795 N MINERAL DR
COEUR D ALENE, ID 83815-8700
Phone number: 208-659-6785
Copy
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