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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MYRA R CORNELIUS, LCSW

Active Sole Proprietor

MYRA R CORNELIUS, LCSW is a Clinical Social Worker healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1093302895 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LAWRENCEVILLE, GA

Registration Details

NPI Number
1093302895
Provider Type
Individual
Gender
Female
NPI Issued
Dec 28, 2020 (5.6097560170152 yrs)
Last Updated
Dec 28, 2020
License
005243 (GA)
Sole Proprietor
Yes

Practice Information

Address
1000 BRIDLE PATH DR
LAWRENCEVILLE, GA, 300458208
Browse GA providers · Browse ZIP 30045
Phone
4045386128
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in LAWRENCEVILLE, GA

Name Credential NPI
MR. THERON LEE HALL LCSW 1437121571
JOEL R. HITT L.C.S.W. 1982664322
CHANDRA HOHN LCSW, MAC 1548202351
MR. KEVIN S WILSON LCSW 1194839795
MS. JENNIFER SUE SHELTON LCSW 1174617286
MS. DEBORAH RUTH COHEN M.S.W. 1093805129
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.