Individual
CASEY K. COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
808 UNION ST STE 3A, BROOKLYN, NY 11215-1386
(917) 697-7109
Mailing address
9 PROSPECT PARK W APT 9C, BROOKLYN, NY 11215-1741
(917) 697-7109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089779
NY
Other
Enumeration date
07/02/2015
Last updated
11/25/2020
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