Individual
JUSTINE MICALIZZI CORNELIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1552
(860) 793-3500
Mailing address
310 OLD MAIN ST, ROCKY HILL, CT 06067-1508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
05/26/2022
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