Lucille G Cockerham LCSW

NPI 1710072962 - Social Worker - 1041C0700X

NPI Details
NPI 1710072962
Gender Female
Enumeration Date 10/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1500 E WOODROW WILSON
JACKSON MS, 39216-5199, US
Phone (601) 362-4471
Fax (601) 368-4409
Business Location
454 FOREST AVE
JACKSON MS, 39206, US
Phone (601) 362-4471
Fax (601) 368-4409
Toxanomy
Taxonomy Code 1041C0700X
License State Mississippi
License Number C1188
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According to our database, Ms. Lucille G Cockerham LCSW NPI is 1710072962, taxonomy code is 1041C0700X and license number is C1188, license state is located at Mississippi. Lucille G Cockerham LCSW physically located at 1500 E Woodrow Wilson, Jackson MS, 39216-5199. NPI Number Lucille G Cockerham LCSW has the Individual type.

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1710072962 NPI number is provided on an as is basis without warranty of any kind. 1710072962 is maintained by the National Plan & Provider Enumeration System. The contents of Lucille G Cockerham LCSW are for informational purposes only.