Individual
DANIELLE SAMONE KEMBA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPS, WHAM, CAT, CDDC
Contact information
Practice address
2785 LAWRENCEVILLE HWY STE 205, DECATUR, GA 30033-2515
(470) 363-7900
(404) 371-8928
Mailing address
2785 LAWRENCEVILLE HWY STE 205, DECATUR, GA 30033-2515
(470) 363-7900
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
00000000
GA
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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