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JOLANDA JEANETTE COOK L.C.S.W.

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1275502312

Individual Registrant:
 JOLANDA JEANETTE COOK L.C.S.W.
Gender: F

Location and contact information for practice:
2630 CENTRAL AVE  EIELSON AFB, AK 99702-2325 US
Tel: 907-377-4041  Fax: 907-377-3690

Contact information for business:
PO BOX 71494  FAIRBANKS, AK 99707-1494 US
Tel: 907-479-6826  Fax: --

Registration Information:
NPI: 1275502312
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
AKLCSW47

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AK - Page 1



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