Individual
MRS. AMANDA GEORGE COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
132 POPLAR GROVE CONNECTOR, SUITE B, BOONE, NC 28607-5915
(828) 264-8759
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007628
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7617950 00
—
FL
Enumeration date
01/19/2010
Last updated
12/05/2016
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