Female

Dr. Stephani L. Cornelison PHD, LCSW

Clinical Social Worker in Lagrange, GA(View on Map)

Full Name

Dr. Stephani Lee Cornelison PHD, LCSW

NPI Number

1265519698

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/01/2006

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

CSW003562

Contact
Information

Purpose

Mailing
Location

Address

206 THOMAS DR
206 THOMAS DR

City

Lagrange
Lagrange

State

GA
GA

Postal Code

30240-9126
30240-9126

Country

US
US

Telephone Number

(706) 616-3976
(706) 616-3976

Identifiers

Identifier

376639331A
513478088A

Identifier State

GA
GA

Identifier Issuer

GEORGIA HEALTHY FAMILIES
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/29/2021

Provider Address

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