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1366165375
VICKI A COOPER
RIVERHEAD, NY
NPI
1366165375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 093574)
Enumeration Date
2022-09-23
Last Update Date
2022-09-23
Business Address
VICKI A COOPER
12 1ST ST
RIVERHEAD, NY 11901-4602
Phone number: 631-566-0427
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Mailing Address
VICKI A COOPER
PO BOX 1831
QUOGUE, NY 11959-1831
Phone number: 631-566-0427
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