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Individual

DR. CORBIN S. IRELAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
181 W MICHIGAN AVE, SUITE 3, PAW PAW, MI 49079-1432
(269) 657-6025
(269) 657-5198
Mailing address
181 W MICHIGAN AVE, SUITE 3, PAW PAW, MI 49079-1432
(269) 657-6025
(269) 657-5198

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012741
MI

Other

Enumeration date
10/27/2005
Last updated
07/08/2007
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