Individual
MARIAH CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8514 PRICE AVE, DOUGLASVILLE, GA 30134-1734
(610) 331-1690
Mailing address
8514 PRICE AVE, DOUGLASVILLE, GA 30134-1734
(610) 331-1690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007021
GA
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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