Individual ProviderStephanie Darlene CooperSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1085 Maple St, Farmington, MO 63640-1955(573) 664-4710PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Darlene Cooper does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:13 AM.Profile DetailsProvider ID1790430908Provider TypeIndividualFull NameCooper, Stephanie DarleneTitleMs.GenderFemaleSole ProprietorNoEnumeration Date2/16/2022Last Updated2/16/2022Contact InformationPractice LocationPractice Address1085 Maple St, Farmington, MO 63640-1955Phone(573) 664-4710FaxUnlisted FaxMailing LocationMailing Address1085 Maple St, Farmington, MO 63640-1955Phone(573) 664-4710FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer