Individual
PAMELA MCCORKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 NE C ST, GRANTS PASS, OR 97526-2153
(541) 630-0079
Mailing address
217 NE C ST, GRANTS PASS, OR 97526-2153
(541) 630-0079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7139
OR
Other
Enumeration date
05/19/2015
Last updated
12/07/2020
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