Individual
MS. PATRICIA ANN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1539 W HARRISON ST, FREEPORT, IL 61032-4631
(815) 541-2492
Mailing address
1539 W HARRISON ST, FREEPORT, IL 61032-4631
(815) 541-2492
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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