Individual
IVEY S COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 RETREAT AVE., HARTFORD HOSPITAL PSYCHIATRY DEPARTMENT, HARTFORD, CT 06106-3310
(860) 545-7203
Mailing address
PO BOX 40,000 DEPT 634, HARTFORD HOSPITAL PROFESSIONAL SERVICES, HARTFORD, CT 06151-0634
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002985
CT
Other
Enumeration date
09/20/2006
Last updated
09/04/2009
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