Individual
MRS. REBECCA HICOCK CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
422 WEST MARKET STREET, SUITE A, SNOW HILL, MD 21863-3547
(410) 632-4510
Mailing address
28251 MAIN STREET, HALLWOOD, VA 23359
(757) 854-1667
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G11268
MD
Other
Enumeration date
12/04/2006
Last updated
04/08/2009
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