Individual
LORA COCKRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2690 W OXFORD LOOP STE 146, OXFORD, MS 38655-5575
(662) 371-4406
Mailing address
20 COUNTY ROAD 289, ABBEVILLE, MS 38601-9709
(662) 371-4406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C5982
MS
1041C0700X
Clinical Social Worker
Primary
C5982
MS
Other
Enumeration date
01/02/2021
Last updated
12/15/2021
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