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Individual
MRS. TIFFANY MONIQUE TUNCLE-COCKERHAM
Active
Individual
MRS. TIFFANY MONIQUE TUNCLE-COCKERHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP,CCC
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105646
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105646
STATE LICENSE
TX
Enumeration date
02/26/2013
Last updated
09/08/2016
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