Individual
ALICIA ANNE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
339 PRAIRIE OAKS DR, VERONA, WI 53593-2005
(217) 552-2896
Mailing address
339 PRAIRIE OAKS DR, VERONA, WI 53593-2005
(217) 552-2896
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4613-154
WI
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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