Individual
AARON COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
24302 NORTHERN BLVD, DOUGLASTON, NY 11362-1150
(718) 423-6200
Mailing address
203 HURON ST APT 2F, BROOKLYN, NY 11222-1998
(301) 602-6332
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0794941
NY
Other
Enumeration date
04/26/2012
Last updated
07/16/2013
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