Individual
MELISSA COCKRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1211 PORTER WAGONER BLVD, WEST PLAINS, MO 65775-1826
(417) 257-6762
Mailing address
668 STATE HIGHWAY P, THEODOSIA, MO 65761-6206
(417) 989-0610
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2025006967
MO
Other
Enumeration date
03/19/2025
Last updated
03/20/2025
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