Individual
COREY EALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1500 S MCDONNELL AVE, COMMERCE, CA 90040-5623
(323) 981-4301
Mailing address
1500 S MCDONNELL AVE, COMMERCE, CA 90040-5623
(323) 981-4301
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
92377
CA
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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