Individual
MISS ANNETTE MICHELLE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA LEVEL 1 MED AIDE
Contact information
Practice address
4218 NORTH GRAND BLVD, ST. LOUIS, MO 63107
(314) 534-6624
(314) 535-4394
Mailing address
4218 N GRAND BLVD, SAINT LOUIS, MO 63107-1806
(314) 534-6624
(314) 535-4394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/02/2014
Last updated
11/24/2015
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