Individual
AMANDA CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8884 MENOKIN RD, MONTROSS, VA 22520-2934
(804) 493-9818
Mailing address
12207 BEAVER CREEK DR, RICHMOND, VA 23233-8000
(804) 874-4236
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12149311
VA
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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