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Individual

DEAN MICHAEL MCCORKLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CADC INTERN

Contact information

Practice address
1101 W MOANA LN, SUITE #2, RENO, NV 89509-4775
(775) 337-2394
(775) 337-9570
Mailing address
1101 W MOANA LN, SUITE #2, RENO, NV 89509-4775
(775) 337-2394
(775) 337-9570

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
171M00000X
Case Manager/Care Coordinator
01142-INTERN
NV
225400000X
Rehabilitation Practitioner

Other

Enumeration date
06/05/2013
Last updated
06/27/2014
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