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Individual
MARY EMMA COOK
Active
Individual
MARY EMMA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.105354
IL
1041C0700X
Clinical Social Worker
Primary
149.026419
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15371756
CAQH
—
Enumeration date
08/09/2021
Last updated
07/03/2026
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