Individual
AMY L COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 SUNRISE DR, ELIZABETHTON, TN 37643-6416
(423) 895-4099
Mailing address
116 SUNRISE DR, ELIZABETHTON, TN 37643-6416
(423) 895-4099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11038
TN
Other
Enumeration date
07/15/2018
Last updated
07/15/2018
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