Individual
CHARISSA DAWN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11909 N DIVISION ST, SPOKANE, WA 99218-1903
(509) 213-1442
Mailing address
7915 E WOODLAND PARK DR, SPOKANE VALLEY, WA 99212-3512
(509) 218-2448
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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