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1295777183
KENNETH BRUCE COOK
SMYRNA, GA
NPI
1295777183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW000292)
Enumeration Date
2006-06-12
Last Update Date
2007-07-08
Business Address
Mr. KENNETH BRUCE COOK LCSW
1260 CONCORD RD SE SUITE 202
SMYRNA, GA 30080-5306
Phone number: 770-436-1879
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Mailing Address
Mr. KENNETH BRUCE COOK LCSW
1260 CONCORD RD SE SUITE 202
SMYRNA, GA 30080-5306
Phone number: 770-436-1879
Copy
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