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Individual

CASSANDRA LEE COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
9838 SE CORNELL RD, PORT ORCHARD, WA 98366-8955
(210) 878-6366
Mailing address
9838 SE CORNELL RD, PORT ORCHARD, WA 98366-8955
(210) 878-6366

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
104057
TX
235Z00000X
Speech-Language Pathologist
Primary
60916494
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111408402
TX
Enumeration date
06/03/2008
Last updated
02/15/2022
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