Individual
JERRICA L COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 BROAD ST, JOHNSTOWN, PA 15906-2745
(814) 535-6000
Mailing address
134 I ST, JOHNSTOWN, PA 15906-2237
(814) 475-5517
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
PA
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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