Individual
MR. COLEMAN BLAIR GOCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
190 REYNOLDS ST, CLARA BARTON SCHOOL NO.2, RCSD, ROCHESTER, NY 14608
(585) 235-2820
(585) 464-6174
Mailing address
190 REYNOLDS ST, ROCHESTER, NY 14608-2540
(585) 235-2820
(585) 464-6174
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
091903-1
NY
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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