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1487712907
PHYLLIS T. COOK
CAMBRIDGE, MD
NPI
1487712907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD AC0191)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
Mrs. PHYLLIS T. COOK CAC-AD, CCDC, ICADC
2823 OCEAN GTWY
CAMBRIDGE, MD 21613-3403
Phone number: 410-221-6343
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Mailing Address
Mrs. PHYLLIS T. COOK CAC-AD, CCDC, ICADC
8715 SHADOW LN
DELMAR, MD 21875-2551
Phone number: 410-221-6343
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