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Individual
ROBERT A KERCORIAN
Active
Individual
ROBERT A KERCORIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801003021
MI
106H00000X
Marriage & Family Therapist
4101000530
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00260F7
HAP
MI
01
—
032919
MIDWEST HEALTH PLAN
MI
01
—
750910402
BCBSFED
MI
01
—
XX19153
HEALTHPLUS
MI
Enumeration date
06/06/2012
Last updated
06/06/2012
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