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Ms. Susan Eades Corcoran, LCSW
Mental Health Counselor in New York, New York
NPI 1831218023

Susan Eades Corcoran is a Mental Health Counselor based in New York, NY and is specialized in Mental Health. Susan Eades Corcoran practices in New York, NY and has the professional credentials of LCSW. The NPI Number for Susan Eades Corcoran is 1831218023 and holds a License No. R040786-1 (New York).

The current practice location address for Susan Eades Corcoran is 300 Mercer St, New York, NY and can be reached out via phone at 212-673-6867 and via fax at 212-828-8724.

Location: 300 Mercer St, New York, NY, 10128-1255
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Provider Profile Details
NPI Number
1831218023
Provider Name
Susan Eades Corcoran
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
300 Mercer St, New York, NY, 10128-1255
Phone Number
212-673-6867
Fax Number
212-828-8724
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4419205 01 NY AETNA HEALTH PLAN
161961P 01 NY HIP HEALTH PLAN
P3233006 01 NY OXFORD HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
300 Mercer St
City
State
Zip
10003-6724
Phone Number
212-673-6867
Fax Number
212-828-8724
person
Provider Business Mailing Address Details
Address
300 Mercer St
City
State
Zip
10003-6724
Phone Number
212-673-6867
Fax Number
212-828-8724
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
R040786-1 (New York)
Definition
Definition to come...
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