Individual
BRANDY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 STANAFORD RD STE 200, BECKLEY, WV 25801-3140
(304) 254-2863
Mailing address
100 AIRPORT GARDENS RD, HAZARD, KY 41701-9529
(606) 487-7833
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00940819
WV
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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