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Organization
TRUDY MARY COOK LCSW PC
Active
Organization
TRUDY MARY COOK LCSW PC
Active
Other names
Trudy Cook LCSW, CASAC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRUDY MARY COOK LCSW CASAC (OWNER)
(631) 478-2649
Entity
Organization
Contact information
Practice address
307 VESTA CT, SURF CITY, NC 28445-6684
(631) 478-2649
Mailing address
PO BOX 2116, SURF CITY, NC 28445-0018
(631) 478-2649
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
9315235
NY
Other
Enumeration date
04/11/2017
Last updated
08/07/2024
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