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MS. KATHLEEN S COOLEY MS CCC SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1760462576

Individual Registrant:
MS. KATHLEEN S COOLEY MS CCC SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
788 CERTIFICATE COURT  CHARLESTOWN, SC 29414 US
Tel: 843-628-6118  Fax: --

Contact information for business:
788 CERTIFICATE COURT  CHARLESTOWN, SC 29414 US
Tel: 843-628-6118  Fax: --

Registration Information:
NPI: 1760462576
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
SC665

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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