Individual
JILLIAN E COOKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC- SLP
Contact information
Practice address
73 HARLOW ST, BANGOR, ME 04401-5118
(207) 992-4152
Mailing address
73 HARLOW ST, BANGOR, ME 04401-5118
(207) 992-4152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2178
ME
Other
Enumeration date
09/21/2011
Last updated
03/11/2025
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