Individual
COOKE READ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1622 E. NC HYWY 54, DURHAM, NC 27713
(919) 967-3032
(919) 967-3496
Mailing address
1622 E. NC HYWY 54, DURHAM, NC 27713
(919) 967-3032
(919) 967-3496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C004533
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137X1
BCBSNC
NC
05
—
6002880
—
NC
Enumeration date
01/22/2007
Last updated
07/09/2007
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