Individual
TANEYEA RYAONA COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
755 SCOTT CIR, HICKAM AFB, HI 96853-5399
(808) 448-6377
Mailing address
755 SCOTT CIR, HICKAM AFB, HI 96853-5399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-16956
AZ
171000000X
Military Health Care Provider
LCSW-16956
AZ
Other
Enumeration date
03/29/2018
Last updated
07/31/2023
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