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Individual

JENNY MCCORKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
HWY 98 & NAVAJO ROUTE 16, TONALEA, AZ 86044
(928) 672-3018
Mailing address
HC 70 BOX 23, TONALEA, AZ 86044

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW 6471
FL

Other

Enumeration date
10/11/2005
Last updated
10/30/2015
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