Individual
MS. ELIZABETH LYNN COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R043559
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
272281
PROVIDER
NY
Enumeration date
11/13/2006
Last updated
09/29/2010
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