Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1962869818 |
||||
| LBN Legal business name | ANNETTE M. COREY LPC LLV | ||||
| Authorized official | ANNETTE COREY - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/23/2016 | ||||
| Last updated | 01/23/2016 - About 10 years ago | ||||
| Identifiers |
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