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Individual

TRACI COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CF-SLP

Contact information

Practice address
2410 PINE ST, ARKADELPHIA, AR 71923-4335
(870) 245-2210
Mailing address
2410 PINE ST, ARKADELPHIA, AR 71923-4335
(870) 245-2210

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MC016112
AR
Enumeration date
09/30/2008
Last updated
01/30/2015
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