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Individual

CECILIA THERESE CORCORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S,CCC-SLP

Contact information

Practice address
2520 SAINT ROSE PKWY STE 216G, HENDERSON, NV 89074-7789
(703) 792-7800
(703) 792-5699
Mailing address
2520 SAINT ROSE PKWY STE 216G, HENDERSON, NV 89074-7789
(703) 792-7800
(703) 792-5699

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-2816
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004978277
VA
01
187839
BLUE CROSS BLUE SHIELD
VA
Enumeration date
03/26/2010
Last updated
12/06/2023
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