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Individual

KENNEDY COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A

Contact information

Practice address
5304 W CROCUS DR, GLENDALE, AZ 85306-4318
(623) 412-4500
Mailing address
5950 N 78TH ST UNIT 161, SCOTTSDALE, AZ 85250-6183

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP11887
AZ

Other

Enumeration date
07/30/2019
Last updated
07/30/2019
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