Individual
MR. RONALD EDWARD COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
6856 EASTERN AVE NW, WASHINGTON, DC 20012-2165
(202) 723-6600
(202) 723-2549
Mailing address
202 WARREN ST NE, APT. #3, WASHINGTON, DC 20002-6476
(202) 486-3501
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC302264
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11779315
—
DC
Enumeration date
10/18/2007
Last updated
07/14/2011
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