Provider Demographics
NPI:1871659326
Name:COOK, FRANCES ANNE (MSW)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:ANNE
Last Name:COOK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 W WESTERN AVE
Mailing Address - Street 2:STE 313
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49441-1666
Mailing Address - Country:US
Mailing Address - Phone:517-393-5830
Mailing Address - Fax:517-393-9593
Practice Address - Street 1:1050 W WESTERN AVE
Practice Address - Street 2:STE 313
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-1666
Practice Address - Country:US
Practice Address - Phone:517-393-5830
Practice Address - Fax:517-393-9593
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010139261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6801013926-OtherLICENSE MASTER SOCIAL WOR