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Individual

SUSAN COCHENNET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 LINCOLN ST, EMPORIA, KS 66801-2449
(162) 034-3221
(620) 342-1021
Mailing address
1000 LINCOLN ST, EMPORIA, KS 66801-2449
(162) 034-3221

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03236
STATE LICENSE
KS
Enumeration date
07/12/2023
Last updated
07/12/2023
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