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Individual

MR. COREY DOMINIC CARNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
4175 S ALAMO AVE, TUCSON, AZ 85707-4402
(520) 228-4357
Mailing address
4175 S ALAMO AVE, TUCSON, AZ 85707-4402
(520) 228-4357

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
5286
KY
1041C0700X
Clinical Social Worker
Primary
3494
KY

Other

Enumeration date
11/19/2007
Last updated
11/20/2019
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