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Individual

MS. LORRAINE D CORLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
450 WINN WAY, DECATUR, GA 30030-1715
(404) 294-0499
Mailing address
450 WINN WAY, DECATUR, GA 30030-1715
(404) 294-0499

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003295
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CSW003295
PROFESSIONAL COMPOSITE BOARD OF GEORGIA
GA
Enumeration date
01/29/2009
Last updated
01/29/2009
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