Individual
DINA L COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2121 LAKE AVE, VA NIHCS, HBPC, FORT WAYNE, IN 46805-5100
(260) 460-1376
(260) 460-1482
Mailing address
2121 LAKE AVE, VA NIHCS, HBPC, FORT WAYNE, IN 46805-5100
(260) 460-1376
(260) 460-1482
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003264A
IN
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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