Individual
MRS. CYDARIA LASHON COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, MSW, LCSW
Contact information
Practice address
7909 PRESERVATION DR, INDIANAPOLIS, IN 46278-9553
(317) 258-9336
Mailing address
7909 PRESERVATION DR, INDIANAPOLIS, IN 46278-9553
(317) 258-9336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008930A
IN
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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