Individual
KEVIN MICHAEL CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
(570) 821-7299
Mailing address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
(570) 821-7299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW023720
PA
Other
Enumeration date
06/18/2019
Last updated
07/26/2024
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