Individual
SUSAN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 VALLEY VISTA CIRCLE, RACINE, WV 25165
(304) 837-4001
Mailing address
227 VALLEY VISTA CIRCLE, RACINE, WV 25165
(304) 837-4001
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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