Individual
MS. RACHEL DIENER COOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
111 HICKS ST APT 12M, BROOKLYN, NY 11201-1642
(516) 643-4468
Mailing address
111 HICKS ST APT 12M, BROOKLYN, NY 11201-1642
(516) 643-4468
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
079410-1
NY
104100000X
Social Worker
—
—
253Z00000X
In Home Supportive Care Agency
Primary
079410-1
NY
Other
Enumeration date
06/20/2011
Last updated
12/21/2013
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