Individual
GINA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD STE 204, PLYMOUTH MEETING, PA 19462-1047
(443) 243-7967
Mailing address
3026 WOODRING AVE, BALTIMORE, MD 21234-7829
(443) 243-7967
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19003
MD
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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