MEDICARE: THOMAS FRANKLIN COOK DSW, CSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0497C	AL

General Provider Information

NPI Number	:	1346370889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS FRANKLIN COOK DSW, CSW

Provider Business Mailing Address
First Line	:	724 DIVIDING RIDGE DR
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-1711
Country	:	US
Telephone Number	:	205-733-8162
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 CANYON PARK DR
Second Line	:
City	:	PELHAM
State	:	AL
Zip	:	35124-4819
Country	:	US
Telephone Number	:	205-664-8721
Fax Number	:	205-664-7598

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	07/09/2007

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