Individual
KAITLYN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12263 CHARLES LACEY DR, MANASSAS, VA 20112-5903
(703) 239-7336
Mailing address
1111 ARMY NAVY DR APT 426, ARLINGTON, VA 22202-2014
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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