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1881081545
TIMOTHY COOK
EATON, OH
NPI
1881081545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.141521-PRE)
Enumeration Date
2015-04-21
Last Update Date
2015-04-21
Business Address
-- TIMOTHY COOK
228 N BARRON ST
EATON, OH 45320-1704
Phone number: 937-456-7694
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Mailing Address
-- TIMOTHY COOK
600 WALNUT ST
GREENVILLE, OH 45331-1944
Phone number: 937-548-6842
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