Individual
MARK ALBERT COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1153 SW CAL ALLEN LANE, GRANTS PASS, OR 97527
(916) 837-7509
Mailing address
724 S. CENTRAL, SUITE 101, FAMILY SOLUTIONS, MEDFORD, OR 97501
(541) 776-5793
(541) 776-5798
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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