DEREK KEVIN COOPER

ELLICOTT CITY, MD
NPI1568005130
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: MD  LGP9653)
Enumeration Date2019-10-25
Last Update Date2019-10-25
Business Address
DEREK KEVIN COOPER
5058 DORSEY HALL DR STE 103
ELLICOTT CITY, MD 21042-7850
Phone number: 410-884-9200
Mailing Address
DEREK KEVIN COOPER
14103 BRAMBLE LN APT 201
LAUREL, MD 20708-1257
Phone number: 240-393-5068
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