Individual
CORNELIUS MCCLENDON III
Active
Individual
CORNELIUS MCCLENDON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPI, CBRF
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
0016620
WI
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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