Individual
TACY CORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
30 WARREN ST, BRIGHTON, MA 02135-3602
(617) 254-3800
Mailing address
148 SAVIN ST, MALDEN, MA 02148-2348
(617) 816-0244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9985
MA
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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