Individual
JACQUELYN MARIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1822 EAST HWY 54, SUITE 300, DURHAM, NC 27713
(919) 474-6400
Mailing address
1123 IREDELL ST, DURHAM, NC 27705-3524
(919) 723-8954
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/07/2017
Last updated
11/10/2021
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