Individual
DANIELLE CORNEILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 CANTERBURY RD NE APT 203, ATLANTA, GA 30324-7200
(757) 647-1746
Mailing address
925 CANTERBURY RD NE APT 203, ATLANTA, GA 30324-7200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007419
GA
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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