Individual
KEARA MACCORKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 CEDARCREST RD, WILMINGTON, MA 01887-4006
(978) 257-4506
Mailing address
12 CEDARCREST RD, WILMINGTON, MA 01887-4006
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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