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Individual
LISA COOPER
Active
Individual
LISA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
000001065
MA
1041C0700X
Clinical Social Worker
226488
MA
1041C0700X
Clinical Social Worker
Primary
266488
MA
Other
Enumeration date
08/24/2016
Last updated
04/30/2024
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