NPI 1154562767
Dallas Michelle Cooper, BSWPSRS
Practice location
- Address
- Rr 1, Box 35d, Boley, OK 74829
- Phone
- (918) 667-3367
- Mailing address
- P. O. Box 218, Boley, OK 74829
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1154562767
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Mar 2009
- Record last updated
- 11 Mar 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.