Individual
EMILY ANNE CORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 S VIRGINIA ST, CRYSTAL LAKE, IL 60014-7226
(815) 444-9999
Mailing address
242 BRISTOL ST, CANANDAIGUA, NY 14424-1621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149027918
IL
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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