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Individual

MARY COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
505 BURKHART ST, MALDEN, MO 63863-1445
(573) 276-5794
Mailing address
505 BURKHART ST, MALDEN, MO 63863-1445
(573) 276-5794

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0181382
MO

Other

Enumeration date
12/18/2015
Last updated
12/18/2015
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