Individual
TARAJEAN CORNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
121 W LOOCKERMAN ST, DOVER, DE 19904-7325
(302) 674-1397
(302) 674-1602
Mailing address
121 W LOOCKERMAN ST, DOVER, DE 19904-7325
(302) 674-1397
(302) 674-1602
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0001248
DE
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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