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Individual
MRS. JENNIFER E IGO COOGAN
Active
Individual
MRS. JENNIFER E IGO COOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12086609
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003742
DEPARTMENT OF PUBLIC HEALTH
CT
01
—
12086609
AMERICAN SPEECH AND HEARING ASSOCIATION
CT
Enumeration date
07/10/2012
Last updated
07/10/2012
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