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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