Individual
ALICIA JANE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
775 E ELIZA ST, KENTON, OH 43326-1486
(419) 679-1219
(419) 679-1219
Mailing address
3591 COUNTY ROAD 44 APT 2, ADA, OH 45810-9462
(567) 674-0657
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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