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Individual

MR. DANIEL EVAN COOKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.W.

Contact information

Practice address
2048 DAWSON AVE NE, GRAND RAPIDS, MI 49505-4459
(616) 260-3440
Mailing address
2048 DAWSON AVE NE, GRAND RAPIDS, MI 49505-4459
(616) 260-3440

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6802085061
MI
1041C0700X
Clinical Social Worker
Primary
6801091755
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6802085061
SOCIAL WORKER LICENSE
MI
Enumeration date
12/04/2007
Last updated
10/28/2025
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