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Organization

BLUE WATER HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASANDRA ANN COOK LMSW (SOCIAL WORKER - CLINICAL)
(586) 212-4124
Entity
Organization

Contact information

Practice address
33433 MELDRUM ST, CHESTERFIELD, MI 48047-3459
(586) 212-4124
Mailing address
33433 MELDRUM ST, CHESTERFIELD, MI 48047-3459
(586) 212-4124

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/21/2024
Last updated
01/25/2026
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