Individual
CHRISTY COCKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 WEST ST, WADSWORTH, OH 44281-1556
(330) 606-8633
Mailing address
202 WEST ST, WADSWORTH, OH 44281-1556
(330) 606-8633
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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