MR. CORVELL COBURN, LCSW, RN

Social Worker - Clinical

Active Individual
NPI: 1124559232

Practice Address

262 KING RD
Hattiesburg, MS 39402

Phone: (662) 769-1024

Specialties

Specialty Code Primary License
Registered Nurse - Psychiatric/Mental Health 163WP0808X No 906622 (MS)
Social Worker - Clinical 1041C0700X Yes C11412 (MS)

Frequently Asked Questions

NPI 1124559232 is the National Provider Identifier for MR. CORVELL COBURN, LCSW, RN, a Social Worker - Clinical provider located in Hattiesburg, MS. This NPI was enumerated on March 22, 2017.
MR. CORVELL COBURN, LCSW, RN practices at 262 KING RD, Hattiesburg, MS 39402.

Quick Facts

NPI
1124559232
Type
Individual
Enumerated
Mar 22, 2017
Last Updated
Jan 24, 2025

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