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Individual
DIANA COOK
Active
Individual
DIANA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
096937
NY
1041C0700X
Clinical Social Worker
Primary
097125-01
NY
Other
Enumeration date
02/25/2022
Last updated
01/15/2026
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