Organization
FEARLESS GROWTH THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CIARA COOKS LCSW-C (OWNER/THERAPIST)
(443) 735-1300
Entity
Organization
Contact information
Practice address
225 N DIVISION ST RM 207, SALISBURY, MD 21801-4302
(410) 603-3104
Mailing address
1703 S KAYWOOD DR, SALISBURY, MD 21804-8652
(443) 735-1300
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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