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Individual

CAITLIN DENISE COOK-DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1700 MCHENRY VILLAGE WAY, MODESTO, CA 95350-4308
(209) 550-5850
Mailing address
100 POPLAR AVE, MODESTO, CA 95354-0510
(209) 523-4573

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
CA
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/20/2021
Last updated
04/03/2024
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