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Individual

AMANDA DAWN COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
608 WOOD CREST ST, MOORE, OK 73160-6022
(405) 227-2860
Mailing address
608 WOOD CREST ST, MOORE, OK 73160-6022
(405) 227-2860

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100685660A
OK
05
100685660D
OK
Enumeration date
11/09/2006
Last updated
10/22/2015
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