Individual
RODESSA MERYLL MAE CORNEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6238 COMMONWEALTH DR, LOVES PARK, IL 61111-8638
(815) 721-6852
Mailing address
6238 COMMONWEALTH DR, LOVES PARK, IL 61111-8638
(815) 721-6852
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.115026
IL
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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