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1093302895
MYRA R CORNELIUS
LAWRENCEVILLE, GA
NPI
1093302895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA 005243)
Enumeration Date
2020-12-28
Last Update Date
2020-12-28
Business Address
MYRA R CORNELIUS LCSW
1000 BRIDLE PATH DR
LAWRENCEVILLE, GA 30045-8208
Phone number: 404-538-6128
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Mailing Address
MYRA R CORNELIUS LCSW
1000 BRIDLE PATH DR
LAWRENCEVILLE, GA 30045-8208
Phone number: 404-538-6128
Copy
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