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Individual
DEAN MICHAEL MCCORKLE
Active
Individual
DEAN MICHAEL MCCORKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC INTERN
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
01142-INTERN
NV
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
06/05/2013
Last updated
06/27/2014
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