# RAPHAEL CORLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811472962
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 1811472962 | UT | — |
| 1041C0700X | Clinical Social Worker | 10853087-3501 | UT | Yes |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 1041S0200X | School Social Worker | X-10610 | NM | Yes |

## Other

- **Enumeration date:** 09/25/2018
- **Last updated:** 09/29/2026