Myra R Cornelius, LCSW
NPI #1093302895 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1093302895
- Entity Type
- Individual
- Name
- Myra R Cornelius, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Dec 28, 2020
- Last Updated
- Dec 28, 2020
Practice Location
- Address
- 1000 BRIDLE PATH DR
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30045-8208
- Phone
- (404) 538-6128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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