Individual
MRS. ANN T. COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW, BSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10690
CT
1041C0700X
Clinical Social Worker
SW 123007
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW 123007
LICENSE NUMBER
PA
Enumeration date
04/09/2008
Last updated
09/05/2019
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