Individual
MRS. JULIANNE COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
486 WORCESTER ST, KENNEDY DONOVAN CENTER, SOUTHBRIDGE, MA 01550-1386
(508) 765-0292
Mailing address
486 WORCESTER ST, KENNEDY DONOVAN CENTER, SOUTHBRIDGE, MA 01550-1386
(508) 765-0292
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003887
CT
235Z00000X
Speech-Language Pathologist
9160
MA
Other
Enumeration date
03/04/2014
Last updated
05/02/2017
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