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Individual
MS. THERESA KARIN COOKE
Active
Individual
MS. THERESA KARIN COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MSW, LLP
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801034449
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0995653
HEALTH PLUS PROVIDER #
MI
01
—
1068400
BLUE CARE NETWORK
MI
Enumeration date
10/11/2006
Last updated
08/03/2022
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