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1669436713
GARRY COOPER
OAK PARK, IL
NPI
1669436713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149003192)
Enumeration Date
2006-04-14
Last Update Date
2007-07-08
Business Address
Mr. GARRY COOPER LCSW
919 ONTARIO ST
OAK PARK, IL 60302-1998
Phone number: 708-445-0406
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Mailing Address
Mr. GARRY COOPER LCSW
919 ONTARIO ST
OAK PARK, IL 60302-1998
Phone number: 708-445-0406
Copy
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