Individual
ASHLEY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWA
Contact information
Practice address
105 CHAUNCY ST STE 602, BOSTON, MA 02111-1766
(781) 230-8269
Mailing address
105 CHAUNCY ST STE 602, BOSTON, MA 02111-1766
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSWA415903
MA
Other
Enumeration date
03/26/2024
Last updated
04/03/2024
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