Stacey M Cooper-Jennings, LICSW
Social Worker, Clinical in Haverhill, MA. Individual provider (NPI-1).
NPI number1679639702
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1679639702
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Stacey M Cooper-Jennings
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 1, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 11098 | MA | Yes |
| 1041C0700X | Social Worker, Clinical | 1098 | NH |
Other names
- Stacey M Cooper (Former Name)
Practice location
60 Merrimack StHaverhill, MA 01830-6207
Phone 978-373-1126 · Fax 978-373-6363
Mailing address
74 Packers Falls RdNewmarket, NH 03857-1008
Phone 603-659-6137
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