Individual
DAVIDA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8627 DEER HAVEN ST, HUBER HEIGHTS, OH 45424-7072
(937) 542-2298
Mailing address
8627 DEER HAVEN ST, HUBER HEIGHTS, OH 45424-7072
(937) 542-2298
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055760
—
OH
Enumeration date
07/21/2014
Last updated
01/24/2022
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