Individual
GEORGIANNA CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 UNION AVE, IRVINGTON, NJ 07111-3277
(201) 253-0993
Mailing address
709 CHANCELLOR AVE APT 1F, IRVINGTON, NJ 07111-3066
(732) 759-7888
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL06333400
NJ
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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