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Individual

MRS. PEGGY COOK POWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC/SLP

Contact information

Practice address
301 LOUIS WILSON DR, BRANDON, MS 39042-3702
(601) 573-1856
(601) 825-6726
Mailing address
301 LOUIS WILSON DR, BRANDON, MS 39042-3702
(601) 825-6726
(601) 825-6726

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SO409
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00101371
MS
Enumeration date
05/31/2008
Last updated
05/31/2008
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