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MR. CHET M KORENSKY LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1417430752

Individual Registrant:
MR. CHET M KORENSKY LCSW
Gender: M
Not Sole Proprietor

Location and contact information for practice:
786 D ST  FORT RICHARDSON, AK 99505 US
Tel: 907-384-0405  Fax: --

Contact information for business:
204 SLAGLE PL  FORT BRAGG, NC 28307-2142 US
Tel: 760-587-9647  Fax: --

Registration Information:
NPI: 1417430752
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
NCC011632

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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