Individual
ALISON JANELL CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1419 BURNAM RD, CHILLICOTHE, MO 64601-1411
(816) 646-4459
Mailing address
1419 BURNAM RD, CHILLICOTHE, MO 64601-1411
(816) 646-4459
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018040367
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490035143
—
MO
Enumeration date
08/24/2016
Last updated
07/17/2024
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