Individual
NICOLE COUSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6576 AIRPORT BLVD STE B300, MOBILE, AL 36608-3790
(251) 554-4525
Mailing address
5409 FOREST PARK DR, MOBILE, AL 36618-2422
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
06/11/2019
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