Individual
MS. SANDRA LEE COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCM
Contact information
Practice address
900 N BROADWAY ST STE 1, POTEAU, OK 74953-2617
(918) 649-0772
(918) 649-0071
Mailing address
3118 S 32ND ST, FORT SMITH, AR 72903-4408
(479) 304-0113
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00031428
AR
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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