Individual
MILBURN COZORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
206 S PRAIRIE STREET, BLOOMFIELD, MO 63825
(573) 568-2116
(573) 568-2997
Mailing address
206 S PRAIRIE STREET, BLOOMFIELD, MO 63825
(573) 568-2116
(573) 568-2997
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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