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Individual

KELLE COCHRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
790 TRAMWAY LN NE APT 9A, ALBUQUERQUE, NM 87122-1625
(505) 440-3611
Mailing address
PO BOX 35302, ALBUQUERQUE, NM 87176-5302
(505) 440-3611

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-06809
NM

Other

Enumeration date
05/05/2016
Last updated
05/05/2016
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