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1609608173
KRISTOFFER LAWRENCE COOK
DAYTON, OH
NPI
1609608173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH 188292)
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
Mr. KRISTOFFER LAWRENCE COOK CDCA
1 ELIZABETH PL # 111
DAYTON, OH 45417-3445
Phone number: 937-520-4800
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Mailing Address
Mr. KRISTOFFER LAWRENCE COOK CDCA
4382 SPRINGFIELD ST
DAYTON, OH 45431-1039
Phone number: 937-986-8856
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