Individual
MARY COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
101 CUNNINGHAM DR, RIPLEY, MS 38663-1302
(662) 837-3011
(662) 837-7521
Mailing address
951 COUNTY ROAD 609, RIPLEY, MS 38663-9519
(662) 837-3011
(662) 837-7521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S1164
MS
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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