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Individual

MR. ANDREW TODD COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
101 CEDAR LN, TEANECK, NJ 07666-4417
(201) 675-0729
Mailing address
117 HEIGHTS RD, ALLENDALE, NJ 07401-1009
(201) 675-0729

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05205000
NJ

Other

Enumeration date
03/21/2007
Last updated
07/08/2007
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