Individual
JULIA CLODIUS COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS CCC SLP
Contact information
Practice address
106 W FOURTH ST, BOX A, DIXON, MO 65459-0166
(573) 759-7163
(573) 759-2506
Mailing address
PO BOX A, 106 W FOURTH ST, DIXON, MO 65459-0166
(573) 759-7163
(573) 759-2506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2001019376
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467589909
—
MO
Enumeration date
03/14/2007
Last updated
02/20/2009
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