Individual
CONSTANCE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5940 FOREST PARK RD, #3043, DALLAS, TX 75235-6415
(903) 539-3629
Mailing address
5940 FOREST PARK RD, #3043, DALLAS, TX 75235-6415
(903) 539-3629
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
109462
TX
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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