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1982101127
BRUCE ALAN COOPER
WACO, TX
NPI
1982101127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 2590)
Enumeration Date
2018-04-12
Last Update Date
2018-04-12
Business Address
BRUCE ALAN COOPER LCDC,AADC, NCACII
1013 RAMBLER DR
WACO, TX 76710-4049
Phone number: 956-204-9630
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Mailing Address
BRUCE ALAN COOPER LCDC,AADC, NCACII
1013 RAMBLER DR
WACO, TX 76710-4049
Phone number: 956-204-9630
Copy
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