Individual
KIMBERLY ANN COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
540 RIVERSIDE DR, SUITE 10, SALISBURY, MD 21801-5352
(410) 219-5070
(410) 219-5072
Mailing address
540 RIVERSIDE DR, SUITE 10, SALISBURY, MD 21801-5352
(410) 219-5070
(410) 219-5072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12668
MD
171M00000X
Case Manager/Care Coordinator
12668
MD
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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