Individual
KATHRYN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
134 STATE ST, MERIDEN, CT 06450-3293
(203) 237-2229
(203) 686-1677
Mailing address
635 MAIN ST, ATTN CREDENTIALING DEPARTMENT, MIDDLETOWN, CT 06457-2718
(860) 347-6971
(860) 638-6601
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LC8866
ME
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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