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1427808294
DERRICK COOPER
ROCHESTER, NY
NPI
1427808294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY 35422)
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
MR. DERRICK COOPER CASAC
585 JOSEPH AVE
ROCHESTER, NY 14605-1215
Phone number: 585-325-4910
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Mailing Address
MR. DERRICK COOPER CASAC
585 JOSEPH AVE
ROCHESTER, NY 14605-1215
Phone number: 585-325-4910
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