Individual
COREY DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1617 E SAGINAW WAY, SUITE # 102, FRESNO, CA 93704-4458
(559) 274-0299
(559) 244-0328
Mailing address
1617 E SAGINAW WAY, SUITE # 102, FRESNO, CA 93704-4458
(559) 274-0299
(559) 244-0328
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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