THOMAS MILES COOK

FOND DU LAC, WI
NPI1972666832
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: WI  3948-123)
Enumeration Date2006-12-19
Last Update Date2007-07-08
Business Address
MR. THOMAS MILES COOK LCSW
40 CAMELOT DR
FOND DU LAC, WI 54935-8049
Phone number: 920-907-8201
Mailing Address
MR. THOMAS MILES COOK LCSW
1271 DUBLIN DR
HARTFORD, WI 53027-9763
Phone number: 262-224-0900
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