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1922681972
JAKE COOPERSMITH
BRISTOL, CT
NPI
1922681972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101YP2500X Counselor, Professional
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business Address
JAKE COOPERSMITH LPC
50 STURBRIDGE CT
BRISTOL, CT 06010-9037
Phone number: 860-368-8665
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Mailing Address
JAKE COOPERSMITH LPC
50 STURBRIDGE CT
BRISTOL, CT 06010-9037
Phone number: 860-368-8665
Copy
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