Ellen Cooperrider, LCSW

NPI #1215579990 in Orange Park, Florida

Provider Information

NPI Number: 1215579990
Entity Type: Individual
Name: Ellen Cooperrider, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Oct 14, 2019
Last Updated: Nov 5, 2019

Practice Location

Address: 2300 PARK AVE STE 205
City: Orange Park
State: Florida
ZIP Code: 32073-5573
Phone: (904) 308-3751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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