Individual
MR. COOPER MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
102 MAIN ST, GREENFIELD, MA 01301-3224
(413) 372-9856
Mailing address
102 MAIN ST, GREENFIELD, MA 01301-3224
(413) 372-9856
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
06/04/2019
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