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Individual

AMY JENNIFER COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW-CP

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10050
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LW1015
SC
Enumeration date
10/10/2013
Last updated
04/15/2026
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