Individual
JESSICA M CORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 E SOUTHWAY BLVD STE 101, KOKOMO, IN 46902-3577
(317) 366-4980
Mailing address
217 E SOUTHWAY BLVD, KOKOMO, IN 46902-3698
(317) 366-4980
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011288A
IN
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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