| Elizabeth A. Cooley, Lcsw, Llc | |
|
80 West Ave Ste L9 Brockport NY 14420-1300 | |
| (585) 406-4105 | |
| Not Available |
| Full Name | Elizabeth A. Cooley, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 80 West Ave Ste L9, Brockport, New York |
| Authorized Official Name and Position | Elizabeth Cooley (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5856376740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth A. Cooley, Lcsw, Llc 7828 Swamp Rd Bergen NY 14416-9353 Ph: () - | Elizabeth A. Cooley, Lcsw, Llc 80 West Ave Ste L9 Brockport NY 14420-1300 Ph: (585) 406-4105 |
| NPI Number | 1154052934 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154052934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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