Organization
CORSICA FAMILY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA ANN COOK LCSW-C (PRESIDENT/ CLINICAL DIRECTOR)
(410) 490-9742
Entity
Organization
Contact information
Practice address
205 E WATER ST, SUITE C, CENTREVILLE, MD 21617-1155
(410) 490-9742
Mailing address
PO BOX 511, CENTREVILLE, MD 21617-0511
(410) 490-9742
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13638
MD
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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