Individual
KATIE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3230 WISCONSIN AVE, SUITE C, JOPLIN, MO 64804-4029
(417) 347-7850
Mailing address
1105 E 32ND ST, JOPLIN, MO 64804-2879
(417) 347-7600
(417) 347-7608
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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