Individual
LAURA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 BLAINE ST, PORT TOWNSEND, WA 98368-6405
(360) 379-4366
Mailing address
1610 BLAINE ST, PORT TOWNSEND, WA 98368-6405
(360) 379-4366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPI.SI.60651171
WA
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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