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Individual

ERICCA NICOLE COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLPT

Contact information

Practice address
112 11TH ST, REDLANDS, CA 92374-3566
(909) 792-0543
Mailing address
112 11TH ST, REDLANDS, CA 92374-3566
(909) 792-0543

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
26287
CA

Other

Enumeration date
02/12/2018
Last updated
02/12/2018
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