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Individual

KELLY COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
118 E 8TH ST, PORT ANGELES, WA 98362-6129
(360) 457-0431
Mailing address
118 E 8TH ST, PORT ANGELES, WA 98362-6129
(360) 457-0431

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
9685
SC
1041C0700X
Clinical Social Worker
Primary
LW60384294
WA

Other

Enumeration date
02/17/2011
Last updated
07/24/2014
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