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Individual

KENON LEVAR MCCORKLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1504 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1213
(704) 645-8540
Mailing address
1504 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1213
(704) 645-8540

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
01/29/2020
Last updated
06/22/2021
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