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1760616080
TARA L COOK
CHAMPAIGN, IL
NPI
1760616080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 149013343)
Enumeration Date
2009-05-14
Last Update Date
2009-05-14
Business Address
-- TARA L COOK LCSW
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820-3636
Phone number: 217-398-9066
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Mailing Address
-- TARA L COOK LCSW
44 E MAIN ST SUITE 406
CHAMPAIGN, IL 61820-3636
Phone number: 217-398-9066
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