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1003111345
DAVID ALEXANDER COOPER
MATAWAN, NJ
NPI
1003111345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 44SL05596700)
Enumeration Date
2011-01-18
Last Update Date
2011-01-18
Business Address
Mr. DAVID ALEXANDER COOPER LSW
166 MAIN ST
MATAWAN, NJ 07747-3104
Phone number: 732-290-9040
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Mailing Address
Mr. DAVID ALEXANDER COOPER LSW
166 MAIN ST
MATAWAN, NJ 07747-3104
Phone number: 732-290-9040
Copy
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