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1831488071
LESLEE K COOK
PROVO, UT
NPI
1831488071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT 5677058-6005)
Enumeration Date
2011-03-28
Last Update Date
2011-03-28
Business Address
-- LESLEE K COOK CSAC
151 S UNIVERSITY AVE SUITE 3200
PROVO, UT 84601-4427
Phone number: 801-851-7127
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Mailing Address
-- LESLEE K COOK CSAC
343 S 790 W #204
PLEASANT GROVE, UT 84062-2251
Phone number: 801-427-4009
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