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Tracy Cook, LE

Specialist in Farmington, CT. Individual provider (NPI-1).

NPI number1982248902
StatusActive
Last updated in NPPESNov 2, 2019

Details

NPI
1982248902
Entity type
Individual (NPI-1)
Name
Tracy Cook
Credential
LE
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 2, 2019
Last updated
Nov 2, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist000525CTYes

Practice location

1533 New Britain Ave Ste 2
Farmington, CT 06032-3378

Phone 860-678-8200 · Fax 860-678-0368

Mailing address

1533 New Britain Ave Ste 2
Farmington, CT 06032-3378

Phone 860-678-8200 · Fax 860-678-0368

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