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1891783049
BRUCE L COOPERSMITH
PORT JERVIS, NY
NPI
1891783049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R034362-1)
Enumeration Date
2005-10-12
Last Update Date
2014-02-28
Business Address
Mr. BRUCE L COOPERSMITH LCSW
146 PIKE ST
PORT JERVIS, NY 12771-1808
Phone number: 845-858-1456
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Mailing Address
Mr. BRUCE L COOPERSMITH LCSW
146 PIKE ST
PORT JERVIS, NY 12771-1808
Phone number: 845-858-1456
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