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Individual
MS. JEANNETTE L. COOPER
Active
Individual
MS. JEANNETTE L. COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R32820
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032820
HIP
NY
01
—
084701
VALUE OPTIONS
NY
01
—
55975
VYTRA
NY
01
—
5610695
AETNA
NY
01
—
7401003
GHI
NY
01
—
N2356
EMPIRE BLUE CROSS BLUE SH
NY
01
—
P2534275
OXFORD
NY
Enumeration date
01/14/2007
Last updated
01/17/2019
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