Individual
SEAN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 W LEE ST, ENTERPRISE, AL 36330-2424
(334) 792-5020
Mailing address
105 CULLODEN CT, DOTHAN, AL 36305-7205
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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