Individual
MRS. KELLY L S COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7401 METRO BLVD STE 250, EDINA, MN 55439-3062
(320) 403-4013
Mailing address
2700 1ST ST N STE 100, SAINT CLOUD, MN 56303-4585
(320) 223-0503
(800) 692-2091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
17541
MN
Other
Enumeration date
12/14/2006
Last updated
11/20/2024
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