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Individual

MRS. SHANNON COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSSW, CSW

Contact information

Practice address
9616 DIXIE HWY UNIT B, LOUISVILLE, KY 40272-3473
(502) 933-6400
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0325
(502) 899-5411

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255854
KY
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
05/18/2014
Last updated
11/15/2022
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