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Individual

MRS. CAITLYN ELIZABETH COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PCSS

Contact information

Practice address
1223 MARIA LN, IUKA, MS 38852-1139
(662) 423-3332
(662) 423-3331
Mailing address
1223 MARIA LN, IUKA, MS 38852-1139
(662) 423-3332
(662) 423-3331

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00018204
MS
Enumeration date
02/15/2018
Last updated
02/15/2018
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