Individual
MRS. ANITA JEWELL COCKRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
14468 S 169 HIGHWAY, SMITHVILLE, MO 64089
(816) 873-0212
Mailing address
14468 S 169 HIGHWAY, SMITHVILLE, MO 64089
(816) 873-0212
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2007016477
MO
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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