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Individual

DIZONA DENISE COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1900 MASSACHUSETTS AVE SE BLDG 13, WASHINGTON, DC 20003-2542
(202) 682-6590
(202) 543-2115
Mailing address
1900 MASSACHUSETTS AVE SE BLDG 13, WASHINGTON, DC 20003-2542
(202) 682-6590
(202) 543-2115

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/09/2025
Last updated
04/09/2025
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