Individual
MRS. MICHELLE A KORPORAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
210 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 254-4025
(765) 254-4026
Mailing address
317 S NORTON ST, MARION, IN 46952-3296
(765) 664-0101
(765) 668-8391
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33009292A
IN
1041C0700X
Clinical Social Worker
—
IN
Other
Enumeration date
04/13/2018
Last updated
09/11/2019
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