Individual
ERYN COCHRAN MGBOLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
104 ASHOURIAN AVE STE 105, ST AUGUSTINE, FL 32092-5106
(904) 230-7761
Mailing address
14051 BEACH BLVD APT 2109, JACKSONVILLE, FL 32250-1798
(706) 897-9605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/08/2024
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