Individual
TRACEY LEIGH COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1015 E ANDRE AVE, MOUNT PLEASANT, MI 48858-1868
(989) 444-0094
Mailing address
1015 E ANDRE AVE, MOUNT PLEASANT, MI 48858-1868
(989) 444-0094
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000174
MI
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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