Individual
MR. EUGENE ROBERT COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
555 EVELYN DR, CANON CITY, CO 81212-9455
(719) 431-1722
Mailing address
555 EVELYN DR, CANON CITY, CO 81212-9455
(719) 431-1722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
185
CO
Other
Enumeration date
01/06/2012
Last updated
02/16/2016
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