Individual
MARIE-CLAIRE CORNILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
43 BROAD ST, WESTERLY, RI 02891-1977
(401) 596-2302
Mailing address
43 BROAD ST, WESTERLY, RI 02891-1977
(401) 596-2302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02592
RI
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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