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1386282820
RYAN COOPERHOUSE
MIDDLETOWN, NJ
NPI
1386282820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05733400)
Enumeration Date
2019-12-16
Last Update Date
2019-12-16
Business Address
RYAN COOPERHOUSE
19 KAMAR CT
MIDDLETOWN, NJ 07748-3424
Phone number: 732-579-2111
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Mailing Address
RYAN COOPERHOUSE
19 KAMAR CT
MIDDLETOWN, NJ 07748-3424
Phone number: 732-579-2111
Copy
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