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1215579990
ELLEN COOPERRIDER
ORANGE PARK, FL
NPI
1215579990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: FL SW15691)
Enumeration Date
2019-10-14
Last Update Date
2019-11-05
Business Address
ELLEN COOPERRIDER LCSW
2300 PARK AVE STE 205
ORANGE PARK, FL 32073-5573
Phone number: 904-308-3751
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Mailing Address
ELLEN COOPERRIDER LCSW
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 32216-3623
Phone number:
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