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1396065033
TIFFANY A COOK
GASTONIA, NC
NPI
1396065033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 1639)
Enumeration Date
2010-06-04
Last Update Date
2024-12-05
Business Address
TIFFANY A COOK LCNHCS, LCAS
549 COX RD
GASTONIA, NC 28054-0628
Phone number: 704-865-1558
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Mailing Address
TIFFANY A COOK LCNHCS, LCAS
13726 DEALTRY LN
FORT MILL, SC 29707-9001
Phone number: 704-293-4297
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