Individual
CHARLES W COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
110 MORDINGTON AVENUE, JEFFERSON COUNTY BOARD OF EDUCATION, CHARLES TOWN, WV 25414
(304) 267-3595
(304) 267-3599
Mailing address
110 MORDINGTON AVENUE, JEFFERSON COUNTY BOARD OF EDUCATION, CHARLES TOWN, WV 25414
(304) 267-3595
(304) 267-3599
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
R6C141100249
WV
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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