Individual
JEFFERY L CORNHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
109 W MAIN ST, ALVORDTON, OH 43501-9763
(419) 954-2029
Mailing address
885 COMMERCE DR, PERRYSBURG, OH 43551-5267
(419) 330-1060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.0023174
IN
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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