Individual
BERNICE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2223 GREENWAY AVE, WINSTON SALEM, NC 27105-5120
(336) 341-7296
Mailing address
2223 GREENWAY AVE, WINSTON SALEM, NC 27105-5120
(336) 341-7296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P012914
NC
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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