Individual
CHAD GARNETT COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 CLARK AVE, LEBANON, MO 65536-2331
(417) 657-6002
Mailing address
806 LACLEDE ST APT 33, LEBANON, MO 65536-2454
(515) 724-1835
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019024164
MO
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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