Individual
MEREDITH CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7755 OFFICE PLAZA DR N STE 105, WEST DES MOINES, IA 50266-2339
(515) 505-7283
Mailing address
695 DOLCE CT, WEST DES MOINES, IA 50266-6118
(515) 657-1651
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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