Individual
ANGELA D KOOKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
509 E ELM ST, SALINA, KS 67401-2353
(785) 825-0541
(785) 825-0062
Mailing address
509 E ELM ST, SALINA, KS 67401-2353
(785) 825-0541
(785) 825-0062
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7783
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200655340A
—
KS
Enumeration date
07/08/2010
Last updated
09/13/2010
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