Individual
MARY GOCKENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM LM
Contact information
Practice address
805 N MAIN ST, CLEBURNE, TX 76033-3816
(817) 558-2229
(817) 641-2226
Mailing address
805 N MAIN ST, CLEBURNE, TX 76033-3816
(817) 558-2229
(817) 641-2226
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99157
TX
374J00000X
Doula
—
—
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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