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1912679762
COLLIN WILLIAM LEE COOK
FRESNO, CA
NPI
1912679762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1386510420)
Enumeration Date
2021-09-30
Last Update Date
2021-09-30
Business Address
COLLIN WILLIAM LEE COOK
2772 S MLK JR BLVD
FRESNO, CA 93706
Phone number: 559-265-4800
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Mailing Address
COLLIN WILLIAM LEE COOK
2772 S MLK JR BLVD
FRESNO, CA 93706
Phone number: 559-265-4800
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