| NPI | 1437685617 |
|---|---|
| Other Name | COKEY CONCANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 10352) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CT 10352) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2018-10-10 |