Individual
ENDIA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
477 BROADWAY APT 310, BAYONNE, NJ 07002-5333
(929) 294-5721
Mailing address
477 BROADWAY APT 310, BAYONNE, NJ 07002-5333
(929) 294-5721
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112868-01
NY
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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