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1760704910
ALICIA L COOK
WAUPACA, WI
NPI
1760704910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15837)
Enumeration Date
2010-02-15
Last Update Date
2020-04-21
Business Address
ALICIA L COOK SAC
902 RIVERSIDE DR STE 204
WAUPACA, WI 54981-1992
Phone number: 920-720-2300
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Mailing Address
ALICIA L COOK SAC
3 NEENAH CTR
NEENAH, WI 54956-3070
Phone number: 920-454-4101
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