Individual
MRS. KELLI LYNN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1400 COLLEGE DR, TEXARKANA, TX 75503-3536
(903) 791-1110
(903) 791-9353
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1764
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2423-C
AR
104100000X
Social Worker
Primary
53274
TX
Other
Enumeration date
03/25/2010
Last updated
05/12/2020
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