Tamyra Noelle Cooper, MSW
Social Worker, Clinical in Cheboygan, MI. Individual provider (NPI-1).
NPI number1265098693
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1265098693
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tamyra Noelle Cooper
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 10, 2019
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801104324 | MI | Yes |
Practice location
217 S Huron StCheboygan, MI 49721-1919
Phone 231-268-1149
Mailing address
217 S Huron StCheboygan, MI 49721-1919
Phone 231-268-1149
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