Individual
BARBRETTA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
635 COX RD, GASTONIA, NC 28054-3424
(803) 439-0559
Mailing address
1320 WAVERLY PLACE DR, COLUMBIA, SC 29229
(704) 691-7561
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A11222
NC
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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