Individual
MS. BETHANY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
3247 ELECTRIC RD STE 1A, ROANOKE, VA 24018-6448
(540) 772-0690
Mailing address
513 GREENWAY LANDING PL, VINTON, VA 24179-2211
(540) 890-2571
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006367
VA
Other
Enumeration date
08/15/2006
Last updated
04/23/2008
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