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Organization

NANCY MATTER COBB, LCSW, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY MATTER COBB LCSW (PRESIDENT)
(405) 415-2305
Entity
Organization

Contact information

Practice address
717 NW 56TH ST, OKLAHOMA CITY, OK 73118-6030
(405) 415-2305
Mailing address
717 NW 56TH ST, OKLAHOMA CITY, OK 73118-6030
(405) 415-2305

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18-CLINICAL
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
443369421001
BCBS OF OKLAHOMA
OK
Enumeration date
12/14/2006
Last updated
08/22/2020
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