Individual
MS. AMY NICOLE COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
616 PARK AVE NW, NORTON, VA 24273-1922
(276) 679-1045
(276) 679-1045
Mailing address
616 PARK AVE NW, NORTON, VA 24273-1922
(276) 679-1045
(276) 679-1047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904008692
VA
Other
Enumeration date
02/01/2007
Last updated
08/29/2014
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