Individual
LESLIE EMELY CORNEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SPECIALIST
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG1031066
WA
Other
Enumeration date
12/02/2019
Last updated
07/05/2023
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