| NPI | 1255493359 |
|---|---|
| Other Name | HAZEL T COOK-FASANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001153) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 10936) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-10-03 |