Individual
REBECCA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4236 N 186TH AVE, GOODYEAR, AZ 85395-6486
(623) 693-4711
Mailing address
4236 N 186TH AVE, GOODYEAR, AZ 85395-6486
(623) 693-4711
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10593
AZ
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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