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Individual
SUSAN COOPER
Active
Individual
SUSAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04123
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11247749
AETNA
MD
01
—
217388
KAISER PERMANENTE
MD
01
—
8190
CAREFIRST BLUECROSS
MD
Enumeration date
12/16/2006
Last updated
07/08/2007
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