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Individual

KRISTEN COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
2808 W 44TH ST S, WICHITA, KS 67217-4081
(316) 253-5227
Mailing address
2808 W 44TH ST S, WICHITA, KS 67217-4081

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12279
KS

Other

Enumeration date
11/30/2023
Last updated
11/30/2023
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