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Individual

SHERRYL LYNN MCCORKLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDCA

Contact information

Practice address
43 E BABBITT ST, DAYTON, OH 45405-4903
(937) 253-1680
Mailing address
4404 WOLF RD, DAYTON, OH 45416-2228
(937) 718-2264

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
130203
OH

Other

Enumeration date
10/01/2019
Last updated
10/01/2019
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