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Individual
ZIA COOK-ANDRES
Active
Individual
ZIA COOK-ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW135676
PA
1041C0700X
Clinical Social Worker
Primary
CW022166
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
465616190
TAX-ID
PA
Enumeration date
02/05/2019
Last updated
10/21/2021
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