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Individual
MS. JUDITH ANN CORNECELLI
Active
Individual
MS. JUDITH ANN CORNECELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LCSW,
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904002678
VA
1041C0700X
Clinical Social Worker
Primary
LC303484
DC
163W00000X
Registered Nurse
0001104021
VA
Other
Enumeration date
08/19/2006
Last updated
09/11/2025
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