Individual
MADELINE CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4038 CANAL ST, NEW ORLEANS, LA 70119-6021
(504) 439-9659
Mailing address
4038 CANAL ST, NEW ORLEANS, LA 70119-6021
(504) 439-9659
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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