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Individual

VALERI GWEN BAILEY-MCCORKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1715 MARTIN DR, WEATHERFORD, TX 76086-6738
(817) 458-3100
Mailing address
329 CATTAIL TRL, MILLSAP, TX 76066-3303
(817) 629-7028

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213699
TX

Other

Enumeration date
09/13/2018
Last updated
09/13/2018
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