Individual
CAROLYN ANNE COOKSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
780 LYNNHAVEN PKWY, VIRGINIA BEACH, VA 23452-7332
(757) 301-9065
Mailing address
112 LORDS CT APT 201, VIRGINIA BEACH, VA 23452-1624
(540) 827-9679
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
01/30/2021
Last updated
10/09/2024
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