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Individual
STACEY M CORNETT
Active
Individual
STACEY M CORNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34000078A
IN
1041C0700X
Clinical Social Worker
Primary
I.1502015
OH
Other
Enumeration date
01/18/2007
Last updated
06/30/2016
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