Individual
DR. JACQUELINE CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
817A KING ST, ALEXANDRIA, VA 22314-3016
(703) 405-3254
Mailing address
4328 37TH RD N, ARLINGTON, VA 22207-4517
(703) 533-0893
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004999
VA
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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