Provider Demographics
NPI:1679524532
Name:COOK-SAEUGLING, YVETTE MARIE (LISW)
Entity type:Individual
Prefix:MS
First Name:YVETTE
Middle Name:MARIE
Last Name:COOK-SAEUGLING
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:MS
Other - First Name:YVETTE
Other - Middle Name:MARIE
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW
Mailing Address - Street 1:2005 ASBURY RD
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-3042
Mailing Address - Country:US
Mailing Address - Phone:563-583-7357
Mailing Address - Fax:563-583-7026
Practice Address - Street 1:2005 ASBURY RD
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-3042
Practice Address - Country:US
Practice Address - Phone:563-583-7357
Practice Address - Fax:563-583-7026
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA016581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA17924OtherWELLMARK BCBS