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Individual

MS. TAMMY SUE COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
3701 S LINDBERGH BLVD STE 205, SAINT LOUIS, MO 63127-1372
(314) 616-2526
Mailing address
856 DUNBARTON DR, WELDON SPRING, MO 63304-1079
(314) 616-2526

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001000724
MO
133VN1004X
Pediatric Nutrition Registered Dietitian
2001000724
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
350082435
MO
Enumeration date
12/08/2010
Last updated
09/19/2025
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