Individual
KELSIE ELIZABETH COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 N MOUNT AUBURN RD STE C, CAPE GIRARDEAU, MO 63701-2171
(573) 271-5240
Mailing address
605 3RD ST, MARBLE HILL, MO 63764-9609
(573) 208-6485
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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