Individual
MS. SHARON FLORA COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
310 W SYCAMORE AVE, BLOOMFIELD, NM 87413-5844
(505) 634-3628
(505) 634-3675
Mailing address
8475 FOOTHILLS DR, FARMINGTON, NM 87402-0977
(505) 634-3628
(505) 634-3675
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-3996
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Z0886
—
NM
Enumeration date
05/22/2007
Last updated
07/09/2007
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