Individual
URSHELLA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1427 GOOD HOPE RD SE, WASHINGTON, DC 20020-5614
(202) 836-4841
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 436-4400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
11/08/2023
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