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Individual

DANA JEAN COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 228-7328
Mailing address
245 MAIN ST, WOONSOCKET, RI 02895-3123
(401) 766-0900

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
CSW01541
RI
1041C0700X
Clinical Social Worker
Primary
ISW02984
RI

Other

Enumeration date
02/13/2013
Last updated
07/31/2019
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