Individual
FELICIA KEANA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
401 10TH AVE, MENOMINEE, MI 49858-3009
(906) 972-2795
Mailing address
24270 BLACKSTONE ST, OAK PARK, MI 48237-1653
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
4766218
MI
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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