DR. Stephani Lee Cornelison, PHD, LCSW

NPI #1265519698 in Lagrange, Georgia

Provider Information

NPI Number: 1265519698
Entity Type: Individual
Name: DR. Stephani Lee Cornelison, PHD, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: PHD, LCSW
Enumeration Date: Nov 1, 2006
Last Updated: Sep 29, 2021

Practice Location

Address: 206 THOMAS DR
City: Lagrange
State: Georgia
ZIP Code: 30240-9126
Phone: (706) 616-3976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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