Individual
LORI M COONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD., CCC-A
Contact information
Practice address
3600 E MAIN ST, WATERBURY, CT 06705-3851
(203) 000-0000
Mailing address
3600 E MAIN ST, WATERBURY, CT 06705-3851
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000420
CT
Other
Enumeration date
06/07/2006
Last updated
07/20/2010
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