Individual
BRANDI L CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
61 WHITNEY PL, BUFFALO, NY 14201-2314
(607) 857-1731
Mailing address
61 WHITNEY PL, BUFFALO, NY 14201-2314
(607) 857-1731
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
126068-01
NY
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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