Individual
CARLY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
907 N GAINSBOROUGH AVE, ROYAL OAK, MI 48067-3691
(248) 417-8760
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007292
MI
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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