Individual
MR. COREY ALLEN MUNGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
328 CAMBRIAN DR, KATHLEEN, GA 31047-4516
(678) 313-2815
Mailing address
328 CAMBRIAN DR, KATHLEEN, GA 31047-4516
(678) 313-2815
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006456
GA
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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