Tyler Cook, LMSW

NPI #1053150458 in Malad City, Idaho

Provider Information

NPI Number: 1053150458
Entity Type: Individual
Name: Tyler Cook, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: May 23, 2024
Last Updated: May 23, 2024

Practice Location

Address: 148 E 50 S STE 2
City: Malad City
State: Idaho
ZIP Code: 83252-1368
Phone: (208) 609-3010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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