Individual
MR. JERMAINE ANTHONY COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
(913) 280-0215
Mailing address
757 ARMSTRONG AVE, KANSAS CITY, KS 66101-2701
(913) 233-3324
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12868-T
KS
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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