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1861087835
ANTONIO COOPER
FLORENCE, SC
NPI
1861087835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist School
(Licence: SC 297381)
Enumeration Date
2021-03-02
Last Update Date
2021-03-02
Business Address
ANTONIO COOPER PH.D NCSP
4822 E PALMETTO ST
FLORENCE, SC 29506-4530
Phone number: 843-661-1123
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Mailing Address
ANTONIO COOPER PH.D NCSP
PO BOX 100547
FLORENCE, SC 29502-0547
Phone number: 843-661-1123
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