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Individual

CHRISTOPHER THOMAS COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
825 DORCAS ST, OMAHA, NE 68108-1160
(402) 612-6075
Mailing address
16404 MORMON ST, BENNINGTON, NE 68007-5629
(402) 301-1405

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2707
NE

Other

Enumeration date
10/10/2023
Last updated
10/10/2023
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