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1043283641
JASON T. COOK
FORT WAYNE, IN
NPI
1043283641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IN 20041587A)
Enumeration Date
2006-02-13
Last Update Date
2019-10-02
Business Address
JASON T. COOK Psy.D., HSPP
7230 ENGLE RD STE 304
FORT WAYNE, IN 46804-2209
Phone number: 260-483-2400
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Mailing Address
JASON T. COOK Psy.D., HSPP
7230 ENGLE RD STE 304
FORT WAYNE, IN 46804-2209
Phone number: 260-481-2700
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