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General NPI Number Information
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NPI Number | 1982852703
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Entity Type | Individual
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Provider Name | JOCELYN GLORY CORDERO LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 39 N WALNUT ST STE 108
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City | MILFORD
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State | DE
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Zip | 19963-1467
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Country | US
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Telephone | 808-343-2829
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Fax | 833-804-2660
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Provider Business Mailing Address
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Address Line | 386 WALMART DR STE 7, PMB 18
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City | CAMDEN
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State | DE
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Zip | 19934-1374
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Country | US
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Telephone | 808-343-2829
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Fax | 833-804-2660
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT-496
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | FT-0010127
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License Number State | DE
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