Individual
MELANIE MARGARET COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3101 W. 2ND CT, RUSSELLVILLE, AR 72801
(479) 567-5654
(479) 567-5661
Mailing address
PO BOX 10323, RUSSELLVILLE, AR 72812
(479) 567-5654
(479) 567-5661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7535-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227119719
—
AR
Enumeration date
08/25/2014
Last updated
04/06/2022
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