Individual
MRS. SUSAN H. COTHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1293 BRUSHY CREEK RD, LUCEDALE, MS 39452-8751
(601) 766-9058
Mailing address
1293 BRUSHY CREEK RD, LUCEDALE, MS 39452-8751
(601) 766-9058
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5682
MS
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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