Individual
JENNIFER COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
185 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1521
(336) 725-0222
(336) 725-0454
Mailing address
144 QUAIL RIDGE RD, JOHNSON CITY, TN 37601-6313
(276) 613-4694
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5208
TN
235Z00000X
Speech-Language Pathologist
7356
NC
Other
Enumeration date
10/23/2007
Last updated
03/17/2018
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