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Individual

DR. LORI KAY MCCORKLE-BENZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3951 S PANTANO RD, TUCSON, AZ 85730-4014
(520) 731-7722
Mailing address
3055 N PANTANO RD, TUCSON, AZ 85750-2860
(520) 885-5837

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
574170
AZ
Enumeration date
04/16/2007
Last updated
07/26/2007
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