Individual
MRS. JENNIFER J CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
8710 EMGE RD, BALTIMORE, MD 21234-3504
(410) 661-5955
Mailing address
3035 MORELAND AVE, BALTIMORE, MD 21234-4113
(410) 668-1148
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
04175
MD
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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