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Individual
MCKENZIE CORY PARADISE
Active
Individual
MCKENZIE CORY PARADISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
373H00000X
Day Training/Habilitation Specialist
—
NULL
Other
Enumeration date
08/02/2024
Last updated
03/04/2025
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