Kelly Cook, LICSW

NPI #1073810669 in Port Angeles, Washington

Provider Information

NPI Number: 1073810669
Entity Type: Individual
Name: Kelly Cook, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Feb 17, 2011
Last Updated: Jul 24, 2014

Practice Location

Address: 118 E 8TH ST
City: Port Angeles
State: Washington
ZIP Code: 98362-6129
Phone: (360) 457-0431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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