Individual
MS. DOMINIQUE COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4505 S DREXEL BLVD, CHICAGO, IL 60653-4301
(773) 285-0550
Mailing address
9748 S HARVARD AVE, CHICAGO, IL 60628-1205
(773) 756-6067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.028821
IL
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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