Individual
CATHERINE EDNA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 PARK AVE, BRIDGEWATER, MA 02324-2610
(813) 767-6891
Mailing address
107 PARK AVE, BRIDGEWATER, MA 02324-2610
(813) 767-6891
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
124182
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124182
PROFESSIONAL LICENSE
MA
Enumeration date
01/03/2022
Last updated
01/03/2022
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