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Individual

JESSICA LYNN COCHRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1800 1ST CAPITOL DR, SAINT CHARLES, MO 63301-1646
(636) 255-8652
Mailing address
2726 ALLEN AVE APT A, SAINT LOUIS, MO 63104-2118
(573) 776-3186

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018016948
MO

Other

Enumeration date
05/31/2018
Last updated
05/31/2018
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