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Individual
RAPHAEL CORLEY
Active
Individual
RAPHAEL CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1811472962
UT
1041C0700X
Clinical Social Worker
Primary
10853087-3501
UT
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
Primary
X-10610
NM
Other
Enumeration date
09/25/2018
Last updated
09/29/2026
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