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Individual
SHELLI L CORNWELL
Active
Individual
SHELLI L CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, LADC, PC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10028961800
—
NE
Enumeration date
09/14/2012
Last updated
09/19/2025
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