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Individual
DR. MICHELLE P COOKE
Active
Individual
DR. MICHELLE P COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, LADC I, CADC
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
10590
MA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
1470
SC
Other
Enumeration date
08/20/2013
Last updated
07/21/2022
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