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Individual

ALICIA COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
17750 N US HIGHWAY 287, TENNESSEE COLONY, TX 75861-3332
(713) 906-4352
Mailing address
PO BOX 698, FRANKSTON, TX 75763-0698

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100308
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100308
STATE OF TEXAS SLP
TX
Enumeration date
09/29/2021
Last updated
09/29/2021
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