Individual
PHILIP G COOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 TIMBER LN, OXFORD, MS 38655-5852
(662) 236-2142
Mailing address
407 TIMBER LN, OXFORD, MS 38655-5852
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
MS 223
MS
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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