ELIZABETH GRACE COOKE

LEWISTON, ID
NPI1790482693
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2023-02-10
Last Update Date2023-02-10
Business Address
ELIZABETH GRACE COOKE BS, BIS, CS
1519 ALDER AVE
LEWISTON, ID 83501-5815
Phone number: 208-503-9104
Mailing Address
ELIZABETH GRACE COOKE BS, BIS, CS
1519 ALDER AVE
LEWISTON, ID 83501-5815
Phone number: 208-503-9104