Individual
BRIGET MARIE CORNELISON-FORSYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1918 MECHANICSBURG RD, SPRINGFIELD, OH 45503-3147
(937) 399-6101
(937) 399-6609
Mailing address
1918 MECHANICSBURG RD, SPRINGFIELD, OH 45503-3147
(937) 399-6101
(937) 399-6609
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S9480
OH
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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