Individual
MRS. STEPHENIE AUGUST COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2901 ISLAND AVE, PHILADELPHIA, PA 19153-3013
(267) 713-4100
Mailing address
148 PIERCE ST, PHILADELPHIA, PA 19148-1910
(267) 713-4100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC010301
PA
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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