Individual
MS. JENNIFER MARIE COCKRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
2901 RIDGELAKE DR, SUITE 104, METAIRIE, LA 70002-4966
(504) 723-7583
Mailing address
825 DESIRE ST, NEW ORLEANS, LA 70117-6247
(504) 947-0579
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4111
LA
Other
Enumeration date
11/30/2006
Last updated
07/09/2007
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