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Individual
KRISTINA MARIE CORCORAN
Active
Individual
KRISTINA MARIE CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
082673
IA
Other
Enumeration date
01/10/2017
Last updated
02/04/2021
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