Individual
CAROLINE COOPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(610) 945-7580
Mailing address
1600 HAGYS FORD RD APT 7R, PENN VALLEY, PA 19072-1055
(610) 945-7580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
08/19/2024
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