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Individual
SHAQUITA M CORNELIUS
Active
Individual
SHAQUITA M CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A2603005
AR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
09/11/2026
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