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Individual

CRYSTAL G COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS/CCC-SLP

Contact information

Practice address
5008 MARK LN, MT PLEASANT, TX 75455-6506
(903) 572-2596
Mailing address
5008 MARK LN, MT PLEASANT, TX 75455-6506

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17298
TX

Other

Enumeration date
08/29/2018
Last updated
08/29/2018
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