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1710072962
LUCILLE G COCKERHAM
JACKSON, MS
NPI
1710072962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C1188)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
Ms. LUCILLE G COCKERHAM LCSW
1500 E WOODROW WILSON
JACKSON, MS 39216-5199
Phone number: 601-362-4471
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Mailing Address
Ms. LUCILLE G COCKERHAM LCSW
454 FOREST AVE
JACKSON, MS 39206
Phone number: 601-362-4471
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