Mary Ann Mccorquodale CGBA

NPI 1679757850 - Social Worker - 104100000X

NPI Details
NPI 1679757850
Gender Female
Enumeration Date 12/24/2007
Last Updated 12/24/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
301 S STATE ST
UKIAH CA, 95482-4906, US
Phone (707) 468-9347
Fax (707) 468-5234
Business Location
301 S STATE STREET
UKIAH CA, 95482, US
Phone (707) 468-9347
Fax (707) 468-5234
Toxanomy
Taxonomy Code 104100000X
License State
License Number
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According to our database, Ms. Mary Ann Mccorquodale CGBA NPI is 1679757850, taxonomy code is 104100000X Mary Ann Mccorquodale CGBA physically located at 301 S State St, Ukiah CA, 95482-4906. NPI Number Mary Ann Mccorquodale CGBA has the Individual type.

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1679757850 NPI number is provided on an as is basis without warranty of any kind. 1679757850 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Ann Mccorquodale CGBA are for informational purposes only.