Dustin James Cooley LMSW

NPI 1134425994 - Social Worker - 104100000X

NPI Details
NPI 1134425994
Gender Male
Enumeration Date 01/26/2011
Last Updated 01/26/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1300 E BRADFORD PKWY
SPRINGFIELD MO, 65804-4264, US
Phone (417) 269-5400
Fax (417) 269-7212
Business Location
1300 E BRADFORD PKWY
SPRINGFIELD MO, 65804-4264, US
Phone (417) 269-5400
Fax (417) 269-7212
Toxanomy
Taxonomy Code 104100000X
License State Missouri
License Number 2010027422
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According to our database, Dustin James Cooley LMSW NPI is 1134425994, taxonomy code is 104100000X and license number is 2010027422, license state is located at Missouri. Dustin James Cooley LMSW physically located at 1300 E Bradford Pkwy, Springfield MO, 65804-4264. NPI Number Dustin James Cooley LMSW has the Individual type.

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1134425994 NPI number is provided on an as is basis without warranty of any kind. 1134425994 is maintained by the National Plan & Provider Enumeration System. The contents of Dustin James Cooley LMSW are for informational purposes only.