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Individual

CHRISTINE A CORCORAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
434 SCOTT ST, COVINGTON, KY 41011-2342
(513) 354-7100
(513) 354-7115
Mailing address
434 SCOTT ST, COVINGTON, KY 41011-2342
(513) 354-7100
(513) 354-7115

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1303134
OH
1041C0700X
Clinical Social Worker
Primary
253721
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000
LICENSURE BOARD
KY
Enumeration date
11/13/2018
Last updated
11/13/2018
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