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1235726951
MATTHEW COOKMAN
GRAND FORKS, ND
NPI
1235726951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 305109)
Enumeration Date
2020-12-29
Last Update Date
2024-06-07
Business Address
MR. MATTHEW COOKMAN LADC, LAC
1615 17TH AVE S
GRAND FORKS, ND 58201-5372
Phone number: 701-795-8550
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Mailing Address
MR. MATTHEW COOKMAN LADC, LAC
628 9TH AVE S
GRAND FORKS, ND 58201-4862
Phone number: 701-240-1092
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