Individual
BRENDA COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 CONSTITUTION DR, WARNER ROBINS, GA 31088-8001
(478) 333-6363
Mailing address
114 CONSTITUTION DR, WARNER ROBINS, GA 31088-8001
(478) 333-6363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007009
GA
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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