Individual
JENNY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
4819 W ROSCOE ST, APT 2N, CHICAGO, IL 60641-4322
(231) 301-0407
Mailing address
4819 W ROSCOE ST, APT 2N, CHICAGO, IL 60641-4322
(231) 301-0407
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
C20043386896
IL
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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