Individual
MS. KAYLA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
Mailing address
13171 SHUTTER, LOWELL, MI 49331-9608
(616) 825-5873
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851114287
MI
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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