Individual
ANDREA ELLEN CORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 S CANNON BLVD, KANNAPOLIS, NC 28083-6232
(704) 939-1100
Mailing address
1305 S CANNON BLVD, KANNAPOLIS, NC 28081
(704) 939-1100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
28092592
NC
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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