Individual
MS. DORA JEAN COOKSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S-0029168
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC060600
—
OH
Enumeration date
11/15/2007
Last updated
11/20/2007
Update your record
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