Individual
SAMANTHA CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10264 BALTIMORE NATIONAL PIKE STE B, ELLICOTT CITY, MD 21042-3609
(410) 908-0830
Mailing address
6522 WALTHER AVE APT C5, BALTIMORE, MD 21206-1762
(814) 566-2606
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30072
MD
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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