Individual
AVA BIBI SHAKIB-COCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
426 4TH ST, ENCINITAS, CA 92024-3401
(949) 632-7302
Mailing address
22141 WREN WAY, LAKE FOREST, CA 92630-1863
(949) 632-7302
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
115853
CA
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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