Individual
MS. JACQUELINE MCCOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 CAMARILLO RANCH RD STE 209, CAMARILLO, CA 93012-5903
(805) 242-8255
Mailing address
400 CAMARILLO RANCH RD STE 209, CAMARILLO, CA 93012-5903
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14102
CA
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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