TIMOTHY JORDAN COOK

LAGRANGE, GA
NPI1902639412
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  APC009549)
Enumeration Date2024-08-21
Last Update Date2024-08-21
Business Address
TIMOTHY JORDAN COOK
401 RIDLEY AVE
LAGRANGE, GA 30240-2267
Phone number: 706-756-1970
Mailing Address
TIMOTHY JORDAN COOK
304 PARK PL
LAGRANGE, GA 30240-1746
Phone number: 229-603-0569
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