Individual
CAMRYN ELISE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11537 WINDING RIVER RD, PROVIDENCE FORGE, VA 23140-4447
(804) 252-6927
Mailing address
11537 WINDING RIVER RD, PROVIDENCE FORGE, VA 23140-4447
(804) 252-6927
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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