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Individual

MS. JANICE MARIE COOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CAC

Contact information

Practice address
5987 PATTILLO LN, LITHONIA, GA 30058-6295
(678) 778-0637
(678) 691-0763
Mailing address
5987 PATTILLO LN, LITHONIA, GA 30058-6295
(678) 778-0637
(678) 691-0763

Taxonomy

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

Other

Enumeration date
02/08/2008
Last updated
02/08/2008
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