Individual
MISS ELIZABETH MARIE DAWN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 PHILPOTT LN, BEAVER, WV 25813-9501
(304) 252-9662
(304) 254-9264
Mailing address
175 PHILPOTT LN, BEAVER, WV 25813-9501
(304) 252-9262
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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