Most Relevant Information
Provider Data
| NPI Number: | 1003363292 |
| Provider Name: | COOPER JOSEPH HERSTEIN LLBSW |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/06/2016 |
| Last Updated: | 09/06/2016 |
Provider Practice Location
729 NEWTON ST
LANSING
MI
489124327
Practice Location Phone/Fax
| Phone: | 5174492016 |
| Fax: |
Provider Mailing Location
729 NEWTON ST
LANSING
MI
489124327
Provider Mailing Phone/Fax
| Phone: | 5174492016 |
| Fax: |