Individual
MRS. DIEDRE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 722-5151
Mailing address
800 FULTON ST, LOGANSPORT, IN 46947-1577
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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