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1316963804
DORTHELL MARIE COOKS
CONWAY, SC
NPI
1316963804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2006-07-15
Last Update Date
2007-07-08
Business Address
-- DORTHELL MARIE COOKS MA
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
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Mailing Address
-- DORTHELL MARIE COOKS MA
100 CHRISTY WAY
LITTLE RIVER, SC 29566-6712
Phone number: 843-399-4973
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