Individual
DELISA CORNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 633-4439
(606) 633-9964
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
252445
KY
1041C0700X
Clinical Social Worker
Primary
254596
KY
Other
Enumeration date
09/29/2017
Last updated
02/21/2020
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