Patrick Kevin Cork, LCSW

NPI #1962979120 in Edgerton, Wisconsin

Provider Information

NPI Number: 1962979120
Entity Type: Individual
Name: Patrick Kevin Cork, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 25, 2018
Last Updated: Oct 25, 2018

Practice Location

Address: 120 E LADD LN
City: Edgerton
State: Wisconsin
ZIP Code: 53534-1300
Phone: (608) 884-0064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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