Individual
KELLIE COLLEEN CORKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1340 BLAIRS FERRY RD UNIT A, HIAWATHA, IA 52233-1900
(319) 398-6694
Mailing address
1340 BLAIRS FERRY RD UNIT A, HIAWATHA, IA 52233-1900
(319) 398-6694
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007513
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104339000
—
IA
Enumeration date
11/06/2015
Last updated
12/05/2023
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