Individual
CHARLOTTE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 DEERMOUNT ST, KETCHIKAN, AK 99901-6649
(907) 228-9506
Mailing address
135 AUSTIN ST APT B, KETCHIKAN, AK 99901-5971
(907) 228-9408
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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