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MS. PHYLLIS IRENE COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLPC

Contact information

Practice address
707 S PEARL AVE, JOPLIN, MO 64801-4334
(417) 718-4552
Mailing address
RR 2 BOX 1068, HERMITAGE, MO 65668-9715
(417) 399-6504

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011039291
MO

Other

Enumeration date
01/09/2012
Last updated
01/09/2012
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