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1972903995
DANIEL R COOK
PHOENIX, AZ
NPI
1972903995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ LISAC-10897)
Enumeration Date
2014-08-27
Last Update Date
2014-08-27
Business Address
DANIEL R COOK LISAC
40 E. MITCHELL DR. SUITE 100 & 200
PHOENIX, AZ 85012-2330
Phone number: 602-808-2800
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Mailing Address
DANIEL R COOK LISAC
202 E. EARLL DR. SUITE 200
PHOENIX, AZ 85012-2647
Phone number: 602-808-2800
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