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Individual
SUE COOK
Active
Individual
SUE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC., LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150105107
IL
171100000X
Acupuncturist
198.001119
IL
175F00000X
Naturopath
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150105107
STATE OF ILLINOIS
IL
01
—
227020981
STATE OF ILLINOIS
IL
Enumeration date
10/22/2014
Last updated
08/19/2024
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