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Individual

MS. DIANNA COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
921 YORK DR, DESOTO, TX 75115-2043
(469) 498-4778
Mailing address
321 VILLAGE DR, RED OAK, TX 75154-8849
(917) 587-1465

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110623
TX
235Z00000X
Speech-Language Pathologist
25627
CA

Other

Enumeration date
02/13/2012
Last updated
08/04/2022
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