Individual
ELLEN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10601 S 72ND ST, PAPILLION, NE 68046-3407
(402) 993-2278
Mailing address
12411 S 34TH ST, BELLEVUE, NE 68123-1637
(612) 419-9993
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2686
NE
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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