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Individual
KELLY MCCORKLE
Active
Individual
KELLY MCCORKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0900203
OH
Other
Enumeration date
05/20/2010
Last updated
02/01/2011
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