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1104111970
JESSE M COOPER
COLLINGSWOOD, NJ
NPI
1104111970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2011-06-09
Last Update Date
2011-06-09
Business Address
DR. JESSE M COOPER PHD
900 HADDON AVE STE 234
COLLINGSWOOD, NJ 08108-2111
Phone number: 856-858-5830
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Mailing Address
DR. JESSE M COOPER PHD
900 HADDON AVE STE 234
COLLINGSWOOD, NJ 08108-2111
Phone number: 856-858-5830
Copy
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