Individual
MS. SUSAN K COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.C.S.W.,
Contact information
Practice address
48 DON BOB RD, STAMFORD, CT 06903-3003
(203) 968-6180
Mailing address
48 DON BOB RD, STAMFORD, CT 06903-3003
(203) 968-6180
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002127
CT
101YP2500X
Professional Counselor
R014042-1
NY
101YP2500X
Professional Counselor
SW4204
FL
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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