Individual
EDRIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH LANGUAGE PATH
Contact information
Practice address
19 SANVILLE SCHOOL RD, BASSETT, VA 24055-5032
(276) 629-5301
Mailing address
19 SANVILLE SCHOOL RD, BASSETT, VA 24055-5032
(276) 629-5301
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002747
VA
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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