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1447928833
WAVERLY ARIEL COOK
FAIRFIELD, CA
NPI
1447928833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2021-09-01
Last Update Date
2021-09-01
Business Address
WAVERLY ARIEL COOK
609 JEFFERSON ST
FAIRFIELD, CA 94533-6293
Phone number: 707-399-9190
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Mailing Address
WAVERLY ARIEL COOK
609 JEFFERSON ST
FAIRFIELD, CA 94533-6293
Phone number: 707-399-9190
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