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1922308667
JUDY NAN COOPER
EAST NORTHPORT, NY
NPI
1922308667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY R041005-1)
Enumeration Date
2010-10-28
Last Update Date
2010-10-28
Business Address
Mrs. JUDY NAN COOPER LCSW
2 HOLLY DR
EAST NORTHPORT, NY 11731-5222
Phone number: 631-368-0004
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Mailing Address
Mrs. JUDY NAN COOPER LCSW
2 HOLLY DR
EAST NORTHPORT, NY 11731-5222
Phone number: 631-368-0004
Copy
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