Individual
JENNIFER CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6515 GEORGE WASHINGTON MEM HWY STE 100, YORKTOWN, VA 23692-2182
(757) 877-9140
(757) 877-3925
Mailing address
6515 GEORGE WASHINGTON MEM HWY STE 100, YORKTOWN, VA 23692-2182
(757) 877-9140
(757) 877-3925
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
58149
TX
1041C0700X
Clinical Social Worker
Primary
0904009376
VA
1041C0700X
Clinical Social Worker
C009544
NC
Other
Enumeration date
12/08/2014
Last updated
10/17/2018
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