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Individual

DEBRA COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
20 S OLIVE ST, SUITE 204, MEDIA, PA 19063-3228
(610) 314-7478
(484) 445-4149
Mailing address
20 S OLIVE ST, SUITE 204, MEDIA, PA 19063-3228
(610) 314-7478
(484) 445-4149

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW132507
PA

Other

Enumeration date
10/16/2015
Last updated
10/16/2015
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