Jerome Vincent Cooke, LCSW
Social Worker, Clinical in Dallas, TX. Individual provider (NPI-1).
NPI number1174792188
StatusActive
Last updated in NPPESJan 30, 2013
Details
- NPI
- 1174792188
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jerome Vincent Cooke
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2008
- Last updated
- Jan 30, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 51003 | TX | Yes |
Practice location
4500 S Lancaster RdDallas, TX 75216-7167
Phone 903-583-6533
Mailing address
4500 S Lancaster RdDallas, TX 75216-7167
Phone 903-583-6533
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