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Individual

CAREN CORKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW (LMSW-ACP)

Contact information

Practice address
4245 CENTERGATE ST, SAN ANTONIO, TX 78217-4802
(210) 299-2476
(210) 657-3095
Mailing address
4245 CENTERGATE ST, SAN ANTONIO, TX 78217-4802
(210) 299-2476
(210) 657-3095

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
09631
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00413E
UNSPECIFIED
TX
05
108108503
TX
Enumeration date
08/02/2006
Last updated
05/11/2015
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