Individual
MRS. CAROLYN LACY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1532 W BROADWAY STE 201, MONONA, WI 53713-1828
(608) 223-1506
Mailing address
1532 W BROADWAY STE 201, MONONA, WI 53713-1828
(608) 223-1506
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
5639-125
WI
Other
Enumeration date
07/28/2006
Last updated
03/05/2024
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