Individual
COOPER JORDAN ROUBIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10802 FOREST ST APT 22, GARRETTSVILLE, OH 44231-1077
(330) 978-6561
Mailing address
10802 FOREST ST, GARRETTSVILLE, OH 44231-1079
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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