Individual
JOLANDA JEANETTE COOK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2630 CENTRAL AVE, EIELSON AFB, AK 99702-2325
(907) 377-4041
(907) 377-3690
Mailing address
PO BOX 71494, FAIRBANKS, AK 99707-1494
(907) 479-6826
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW47
AK
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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