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Individual
MARY CORBAN
Active
Individual
MARY CORBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
7350
LA
Other
Enumeration date
10/24/2016
Last updated
05/30/2018
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