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1043563612
LEE CHARLES COOPER
BERKELEY, CA
NPI
1043563612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-10-19
Last Update Date
2012-10-19
Business Address
Mr. LEE CHARLES COOPER
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
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Mailing Address
Mr. LEE CHARLES COOPER
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
Copy
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