Individual
JACOB CAZORT COCKCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CF-SLP
Contact information
Practice address
600 S DOGWOOD ST, SILOAM SPRINGS, AR 72761-3922
(479) 524-3191
Mailing address
823 SW ARROWHEAD DR, BENTONVILLE, AR 72712-3596
(501) 247-6368
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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