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1942742374
DEION COOPER
NEW HAVEN, CT
NPI
1942742374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 2962)
Enumeration Date
2016-11-16
Last Update Date
2016-11-16
Business Address
Mr. DEION COOPER lmsw
501 LOMBARD ST
NEW HAVEN, CT 06513-2910
Phone number: 203-787-2207
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Mailing Address
Mr. DEION COOPER lmsw
501 LOMBARD ST
NEW HAVEN, CT 06513-2910
Phone number: 203-787-2207
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