Individual
HEATHER COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11361 N 99TH AVE STE 107, PEORIA, AZ 85345-5469
(602) 650-1212
(623) 972-6173
Mailing address
11361 N 99TH AVE STE 107, PEORIA, AZ 85345-5469
(602) 650-1212
(623) 972-6173
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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