Individual
ASHLEY C CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4833 MANHATTAN DR, ROCKFORD, IL 61108-2265
(815) 520-2303
(866) 516-7056
Mailing address
11249 HAVENSWOOD RD, ROSCOE, IL 61073-9128
(262) 402-8911
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.114092
IL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
12/10/2024
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