Individual
MRS. SARA NICOLE CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
405 TUMBLEWEED TRL, WAVERLY, IA 50677-9506
(319) 239-9128
Mailing address
405 TUMBLEWEED TRL, WAVERLY, IA 50677-9506
(319) 239-9128
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
002120
IA
235Z00000X
Speech-Language Pathologist
Primary
146.011164
IL
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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