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Individual

DR. MARILYN A CORNISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
778 N DEAN RD STE 300, AUBURN, AL 36830
(334) 219-0425
Mailing address
778 N DEAN RD STE 300, AUBURN, AL 36830-4315
(334) 219-0425

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1963
AL
103TC1900X
Counseling Psychologist
1963
AL
103TP2701X
Group Psychotherapy Psychologist
1963
AL

Other

Enumeration date
03/15/2019
Last updated
11/09/2021
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