Individual
JULIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
248 LANDIS AVE, CHULA VISTA, CA 91910-2609
(619) 515-2562
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119434
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/04/2018
Last updated
01/31/2024
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