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Individual
MEGAN COOK
Active
Individual
MEGAN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW.0009920657
CO
1041C0700X
Clinical Social Worker
Primary
09925637
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043730045
—
CO
Enumeration date
12/07/2016
Last updated
03/10/2022
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