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Individual

LAURIE MICHELLE CORCORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCADC

Contact information

Practice address
29520 CANVASBACK DR, EASTON, MD 21601-7124
(410) 822-5007
Mailing address
1113 HEALTHWAY DR, SALISBURY, MD 21804-4470
(410) 334-6961
(410) 334-6362

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA371
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
520202701
MD
05
520202703
MD
Enumeration date
10/23/2007
Last updated
03/16/2017
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