Stacey Cooper, | |
75 S 1st W, Preston, ID 83263-1204 | |
(208) 852-2370 | |
Not Available |
Full Name | Stacey Cooper |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 75 S 1st W, Preston, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669265732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Stacey Cooper, 1158 N State St, Preston, ID 83263-5377 Ph: (435) 764-6242 | Stacey Cooper, 75 S 1st W, Preston, ID 83263-1204 Ph: (208) 852-2370 |
Trent Beutler Alder, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44 N 100 E, Preston, ID 83263 Phone: 208-852-4107 | |
Mrs. Alyssa Dyer, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 S 1st W, Preston, ID 83263 Phone: 208-852-2370 | |
Jonathan Thacker, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 S 1st W, Preston, ID 83263 Phone: 208-852-2370 |