Individual
CARLA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3212 CROWN FEATHERS DR, EDMOND, OK 73013-7418
(814) 860-6574
Mailing address
3212 CROWN FEATHERS DR, EDMOND, OK 73013-7418
(814) 860-6574
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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