Individual
MR. WILLIE LEE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 766-4000
Mailing address
835 BRUSHY THICKET LN, BLYTHEWOOD, SC 29016-7287
(913) 257-6662
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/17/2023
Last updated
03/13/2024
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