Individual
ALLYSON GWYNETH CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5341 SW 91ST TER STE A, GAINESVILLE, FL 32608-7151
(352) 871-2080
Mailing address
8318 SW 103RD AVE, GAINESVILLE, FL 32608-6213
(352) 871-2080
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
MH16353
FL
Other
Enumeration date
12/05/2015
Last updated
04/15/2022
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