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Organization

GEORGE W. COOK PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE COOK LCSW, LCPC (OWNER/LEAD THERAPIST)
(217) 689-1678
Entity
Organization

Contact information

Practice address
1002 MAYFAIR RD, CHAMPAIGN, IL 61821-4435
(217) 689-1678
Mailing address
1002 MAYFAIR RD, CHAMPAIGN, IL 61821-4435
(217) 689-1678

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
06/21/2019
Last updated
06/21/2019
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