Individual
KELLEY CHAMPION COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
148 LINWOOD DR, PARAGOULD, AR 72450-4077
(870) 530-7292
Mailing address
1601 CASTLE DR, JONESBORO, AR 72401-5100
(870) 530-7292
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4062
AR
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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