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NPI Code Detail

MEDICARE: CHRISTINE MCCORKLE LISW

MEDICARE: CHRISTINE MCCORKLE LISW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerI2708OH

General Provider Information

NPI Number : 1285633487
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE MCCORKLE LISW
Provider Business Mailing Address
First Line : 3469 FORTUNA DR
Second Line :
City : AKRON
State : OH
Zip : 44312-5281
Country : US
Telephone Number : 330-644-3469
Fax Number : 330-644-8519
Provider Business Practice Location Address
First Line : 3469 FORTUNA DR
Second Line :
City : AKRON
State : OH
Zip : 44312-5281
Country : US
Telephone Number : 330-644-3469
Fax Number : 330-644-8519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 07/08/2007

Similar Medicare Providers

1356340525 — AMY D FRANKEL PHD., LPCC
Practice Location Address:
3469 FORTUNA DR
AKRON, OH
44312-5281
Practice Phone: 330-644-3469
Practice Fax: 330-644-8519
1699774968 — KAREN T CIMINI PH.D., PSYCHOLOGIST
Practice Location Address:
3469 FORTUNA DR
AKRON, OH
44312-5281
Practice Phone: 330-644-3469
Practice Fax: 330-644-8519
1821097098 — MARSHA FIELDS-JONES LISW
Practice Location Address:
3469 FORTUNA DR
AKRON, OH
44312-5281
Practice Phone: 330-644-3469
Practice Fax: 330-644-8519
1083613285 — JOHN W LEEDY D.MIN., LPCC
Practice Location Address:
3469 FORTUNA DR
AKRON, OH
44312-5281
Practice Phone: 330-644-3469
Practice Fax: 330-644-8519
1104825470 — ETTA C BROOKS LISW, LICDC
Practice Location Address:
3469 FORTUNA DR
AKRON, OH
44312-5281
Practice Phone: 330-644-3469
Practice Fax: 330-644-8519
1043219272 — RHONDA ROSSI-MARTIN LPCC
Practice Location Address:
3469 FORTUNA DR
AKRON, OH
44312-5281
Practice Phone: 330-644-3469
Practice Fax: 330-644-8519

Directions to “ CHRISTINE MCCORKLE LISW” Practice Location

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