Individual
ANDREA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
231 MAIN ST, BROCKTON, MA 02301-4342
(508) 586-2660
(508) 427-1505
Mailing address
231 MAIN ST, BROCKTON, MA 02301-4342
(508) 586-2660
(508) 427-1505
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
112161
MA
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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