Lara C Cook

NPI #1508136615 in Sault Sainte Marie, Michigan

Provider Information

NPI Number: 1508136615
Entity Type: Individual
Name: Lara C Cook
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 5, 2012
Last Updated: Jan 5, 2012

Practice Location

Address: 2864 ASHMUN ST
City: Sault Sainte Marie
State: Michigan
ZIP Code: 49783-3740
Phone: (906) 632-5272

Specialties & Taxonomy Codes

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

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