Cook, Amanda Dawn

Cook, Amanda Dawn is an individual health care provider with primary practice located at 608 Wood Crest St , Moore OK 73160-6022. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Cook, Amanda Dawn can be contacted via phone (405) 227-2860.

Contact Information

Primary practice address
608 Wood Crest St Moore OK 73160-6022
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1972673358
LBN Legal business name Cook, Amanda Dawn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Oct 22nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972673358 NPPES
Oklahoma MEDICAID 100685660A
Oklahoma MEDICAID 100685660D

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