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Individual
DR. KANDICE NICOLE COOPER
Active
Individual
DR. KANDICE NICOLE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, DMIN
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8819700
—
NJ
Enumeration date
02/28/2007
Last updated
07/08/2007
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