Individual
CHARITA M. COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 ERYN RD, WENONAH, NJ 08090-1609
(856) 217-8872
Mailing address
425 ERYN RD, WENONAH, NJ 08090-1609
(856) 217-8872
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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