Individual
MRS. LAUREN BUCKALEW COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
311 COOPER RD, LOGANVILLE, GA 30052-4976
(678) 205-5437
Mailing address
311 COOPER RD, LOGANVILLE, GA 30052-4976
(678) 205-5437
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006406
GA
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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