Individual
SHADY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14041 SUNVIEW DR., ANCHORAGE, AK 99515
(907) 420-3600
(907) 260-9435
Mailing address
PO BOX 91137, ANCHORAGE, AK 99509
(907) 420-3600
(907) 260-9435
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
05/19/2014
Last updated
08/31/2020
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