Individual
JORDAN MARIA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3351 WRIGHTSBORO RD, AUGUSTA, GA 30909-2800
(706) 868-5011
Mailing address
401 NEWHAVEN CT, GROVETOWN, GA 30813
(404) 429-5585
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
02/19/2024
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