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Individual
PATRICIA COOK
Active
Individual
PATRICIA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401006072
MI
1041C0700X
Clinical Social Worker
Primary
6801003967
MI
Other
Enumeration date
11/02/2012
Last updated
12/11/2012
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