Individual
CORNELIA CHMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 WYOMING AVE, FORTY FORT, PA 18704-4003
(570) 714-1246
Mailing address
20 NITTANY LN, WILKES BARRE, PA 18702-7862
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL015031
PA
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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