Individual
JOHNNA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
726 CHURCH ST, FOGELSVILLE, PA 18051-1603
(610) 530-8392
Mailing address
726 CHURCH ST, FOGELSVILLE, PA 18051-1603
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW140307
PA
Other
Enumeration date
06/06/2023
Last updated
09/19/2023
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