Individual
NICOLE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7350 GRACELAND DR, OMAHA, NE 68134-4328
(402) 557-6631
(402) 557-6674
Mailing address
7350 GRACELAND DR, OMAHA, NE 68134-4328
(402) 557-6631
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
370
NE
Other
Enumeration date
07/09/2013
Last updated
07/10/2013
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