Individual
MRS. CORINNE MARIE ENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 FLINT DR, NORTH EAST, MD 21901-3746
(410) 996-5104
Mailing address
451 WELSH HILL RD, NEWARK, DE 19702-1001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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