AUSTIN J COOPER LMSW
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1801645403- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMSW
- Status
- Active
Contact & Location
- Address
- 3700 W SELTICE WAY, COEUR D ALENE, ID, 838148921
- Phone
- (208) 620-5250
Specialties & Taxonomies
Social Worker
Primary License: ID #45147
All Addresses
MAILING
PO BOX 1387
HAYDEN, ID, 838351387