Individual
ANNALESE COOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75 WILDFLOWER CT APT 11, MORICHES, NY 11955-2030
(631) 291-0157
Mailing address
75 WILDFLOWER CT APT 11, MORICHES, NY 11955-2030
(631) 291-0157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
093587
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102271-1
—
NY
Enumeration date
01/30/2019
Last updated
03/05/2025
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