Most Relevant Information
Provider Data
| NPI Number: | 1003197195 |
| Provider Name: | MARY M CORRIGAN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 2014034182 |
Most Important Dates
| Enumeration Date: | 09/01/2011 |
| Last Updated: | 08/05/2019 |
Provider Practice Location
1032 CROSSWINDS CT
WENTZVILLE
MO
633854836
Practice Location Phone/Fax
| Phone: | 8884031071 |
| Fax: |
Provider Mailing Location
1800 COMMUNITY
CLINTON
MO
647358804
Provider Mailing Phone/Fax
| Phone: | 6608858131 |
| Fax: |