Ivelisses Cooke, LCSW

NPI #1962952929 in Forked River, New Jersey

Provider Information

NPI Number: 1962952929
Entity Type: Individual
Name: Ivelisses Cooke, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 13, 2016
Last Updated: May 7, 2024

Practice Location

Address: 743 CLIFTON ST
City: Forked River
State: New Jersey
ZIP Code: 08731-1323
Phone: (609) 401-2566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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