Individual
LAURA JEAN CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
867 S 800 W, PLEASANT GROVE, UT 84062-4505
(801) 785-9091
Mailing address
867 S 800 W, PLEASANT GROVE, UT 84062-4505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12455896-4102
UT
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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