Individual
AMANDA N OSORIO COOKSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
835 MASON ST STE A135, DEARBORN, MI 48124-2231
(248) 861-9861
(866) 522-9110
Mailing address
9387 VINE AVE, ALLEN PARK, MI 48101-1666
(810) 625-6724
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093413
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801093413
MASTER'S SOCIAL WORKER CLINICAL LICENSE
MI
Enumeration date
05/18/2007
Last updated
11/01/2024
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