Individual
MS. MELISSA COOPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW BCD
Contact information
Practice address
650 FOXCROFT ROAD, ELKINS PARK, PA 19027
(215) 886-4089
Mailing address
650 FOXCROFT ROAD, ELKINS PARK, PA 19027
(215) 886-4089
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW013059
PA
Other
Enumeration date
07/12/2007
Last updated
12/21/2010
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