Individual
JOSEPH COOK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 6TH ST NW, CASS LAKE, MN 56633-3428
(218) 335-3050
Mailing address
115 6TH ST NW, CASS LAKE, MN 56633-3428
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
201204
MN
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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