Individual
MR. ROBERT MILLSAPS CORBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4577 S EASON BLVD, SUITE E-F, TUPELO, MS 38801-6590
(662) 377-7590
(662) 377-7595
Mailing address
4577 S EASON BLVD, SUITE E-F, TUPELO, MS 38801-6590
(662) 377-7590
(662) 377-7595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C0273
MS
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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