Individual
TERESA DIANNE MCCORKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
52 BRAGG AVE, MUNFORDVILLE, KY 42765-9222
(270) 537-3693
(844) 688-4227
Mailing address
52 BRAGG AVE, MUNFORDVILLE, KY 42765-9222
(270) 537-3693
(844) 688-4227
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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