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Individual
MS. KELLEY L COOK
Active
Individual
MS. KELLEY L COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
216366
MA
1041C0700X
Clinical Social Worker
Primary
081035
NY
1041C0700X
Clinical Social Worker
116486
MA
Other
Enumeration date
09/19/2007
Last updated
04/18/2014
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