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Individual

MARIAH KATE CORBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
Mailing address
2205 OLD SUMMERSVILLE RD, CAMPBELLSVILLE, KY 42718-9430
(270) 403-5408

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/11/2017
Last updated
09/11/2017
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