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Individual

ROSE CAMILLE COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14841 WARWICK ST, DETROIT, MI 48223-2248
(734) 926-5452
Mailing address
14841 WARWICK ST, DETROIT, MI 48223-2248

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301017579
MI
103TC0700X
Clinical Psychologist
Primary
6352000460
MI

Other

Enumeration date
09/19/2018
Last updated
03/15/2022
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