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1093372302
ANN R COOK
COTTAGE GROVE, MN
NPI
1093372302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 304497)
Enumeration Date
2019-05-22
Last Update Date
2019-05-22
Business Address
ANN R COOK BA, LADC
7501 80TH ST S STE 108
COTTAGE GROVE, MN 55016-4121
Phone number: 612-564-8073
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Mailing Address
ANN R COOK BA, LADC
1636 HEWITT AVE
SAINT PAUL, MN 55104-1236
Phone number:
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