Individual
DOREEN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
26 HIBLER RD, NEWTON, NJ 07860-5416
(973) 446-5663
(973) 300-0766
Mailing address
26 HIBLER RD, NEWTON, NJ 07860-5416
(973) 446-5663
(973) 300-0766
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
44SC05589300
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05589300
NJ
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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