Individual
CAILLEY TRACY COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(978) 870-2142
Mailing address
19 TACOMA ST, WORCESTER, MA 01605-3516
(978) 870-2142
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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