Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 44SC00672200 | NJ |
NPI | 1003024001 |
---|---|
Provider Name | Ms. Jean French Cochrane |
First Address | Bordentown, NJ 08505 |
Second Address | Bordentown, NJ 08505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 15/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
579467000 | MAGELLAN HEALTH SERVICES (01) | NJ |