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Individual

MR. DAVID COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
300 FAIRLAND HWY 49 SOUTH, DUBLIN, MS 38739
(662) 624-5332
(662) 627-5240
Mailing address
PO BOX 1046, CLARKSDALE, MS 38614-1046
(662) 627-7267
(662) 627-5240

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MS

Other

Enumeration date
10/22/2007
Last updated
10/22/2007
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