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1477372746
MIATA COOK
SUFFOLK, VA
NPI
1477372746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0904017462)
Enumeration Date
2024-10-04
Last Update Date
2024-10-04
Business Address
MIATA COOK LCSW
1213 BALTIC ST
SUFFOLK, VA 23434-4138
Phone number: 757-713-1347
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Mailing Address
MIATA COOK LCSW
1213 BALTIC ST
SUFFOLK, VA 23434-4138
Phone number: 757-713-1347
Copy
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