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Individual
LINDSAY CORCORAN
Active
Individual
LINDSAY CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICS
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
578687
MA
1041C0700X
Clinical Social Worker
Primary
122493
MA
Other
Enumeration date
04/02/2019
Last updated
07/07/2020
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