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1578073870
BONITA MAY COOKE
BELOIT, WI
NPI
1578073870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI 16946)
Enumeration Date
2017-10-02
Last Update Date
2017-10-02
Business Address
MS. BONITA MAY COOKE SAC-IT
838 GRANT ST.
BELOIT, WI 53511
Phone number: 608-322-2393
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Mailing Address
MS. BONITA MAY COOKE SAC-IT
2240 PRAIRE AVE. 10
BELOIT, WI 53511
Phone number: 608-361-7200
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