Most Relevant Information
Provider Data
| NPI Number: | 1003554221 |
| Provider Name: | LAQUONIA D COOPER |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/26/2022 |
| Last Updated: | 05/26/2022 |
Provider Practice Location
2100 24TH AVE S
SEATTLE
WA
981444637
Practice Location Phone/Fax
| Phone: | 2063825340 |
| Fax: |
Provider Mailing Location
2100 24TH AVE S
SEATTLE
WA
981444637
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |