Individual
BRIAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 DUXBURY CT APT A, SAFETY HARBOR, FL 34695-4316
(727) 754-4936
(866) 496-4382
Mailing address
510 DUXBURY CT APT A, SAFETY HARBOR, FL 34695-4316
(727) 754-4936
(866) 496-4382
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW13681
FL
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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