KELLY L S COOK

SAINT CLOUD, MN
NPI1790847135
Former NameKELLY LEA SHEPARDSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  17541)
Enumeration Date2006-12-14
Last Update Date2021-04-29
Business Address
Mrs. KELLY L S COOK LICSW
2700 1ST ST N STE 100
SAINT CLOUD, MN 56303-4585
Phone number: 320-223-0503
Mailing Address
Mrs. KELLY L S COOK LICSW
2700 1ST ST N STE 100
SAINT CLOUD, MN 56303-4585
Phone number: 320-223-0503