Provider Demographics
NPI:1336895945
Name:COOPER, AUNA
Entity Type:Individual
Prefix:
First Name:AUNA
Middle Name:
Last Name:COOPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12774 WISTERIA DR UNIT 1001
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20875-7554
Mailing Address - Country:US
Mailing Address - Phone:240-200-4068
Mailing Address - Fax:
Practice Address - Street 1:12774 WISTERIA DR UNIT
Practice Address - Street 2:SUITE 1001
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20875-7554
Practice Address - Country:US
Practice Address - Phone:240-200-4068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker