Organization
JUDY COOPER LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY NAN COOPER LCSW (SOCIAL WORKER)
(516) 307-0072
Entity
Organization
Contact information
Practice address
372 S OYSTER BAY RD, HICKSVILLE, NY 11801-3529
(516) 307-0072
Mailing address
372 S OYSTER BAY RD, HICKSVILLE, NY 11801-3529
(516) 307-0072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/21/2017
Last updated
03/20/2017
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