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Individual

MRS. ALVA COOPER COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., CCC/SLP

Contact information

Practice address
18 STEPHANIES RD, HAMPTON, VA 23666-2897
(757) 218-6639
Mailing address
18 STEPHANIES RD, HAMPTON, VA 23666-2897
(757) 218-6639

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003918
VA

Other

Enumeration date
02/09/2016
Last updated
02/09/2016
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