MEDICARE: MS. FRANCES ANNE COOK MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801013926	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6801013926-	OTHER	MI	LICENSE MASTER SOCIAL WOR

General Provider Information

NPI Number	:	1871659326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FRANCES ANNE COOK MSW

Provider Business Mailing Address
First Line	:	1050 W WESTERN AVE
Second Line	:	STE 313
City	:	MUSKEGON
State	:	MI
Zip	:	49441-1666
Country	:	US
Telephone Number	:	517-393-5830
Fax Number	:	517-393-9593

Provider Business Practice Location Address
First Line	:	1050 W WESTERN AVE
Second Line	:	STE 313
City	:	MUSKEGON
State	:	MI
Zip	:	49441-1666
Country	:	US
Telephone Number	:	517-393-5830
Fax Number	:	517-393-9593

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	07/15/2016

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