Provider Information for 1215471537
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AMANDA CORKRAN LPC
Sex: Female
NPI: 1215471537
Last Updated: 2020-10-28
Certification Date: 2020-10-28
Certification Date: 2020-10-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1215471537 | ||||||||
| Enumeration Date | 2016-12-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6800 PARK TEN BLVD STE 200S SAN ANTONIO, TX 78213-4293 United States Phone: 210-261-1103 | Fax:210-261-1821 | ||||||||
| Primary Practice Address | 6800 PARK TEN BLVD STE 200S SAN ANTONIO, TX 78213-4293 United States Phone: 210-261-1103 | Fax:210-261-1821 | ||||||||
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