Individual
MR. ANDRELL JOSEPH COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ASW
Contact information
Practice address
2425 BISSO LN, CONCORD, CA 94520-4897
(925) 521-5731
Mailing address
2425 BISSO LN, CONCORD, CA 94520-4897
(925) 521-5731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
85926
CA
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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