Individual
KIM COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 250-4815
Mailing address
42301 HIGHWAY 10, FRANKLINTON, LA 70438-5649
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5501
LA
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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