Individual
JAEL CORNELIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3323 S. SOUTHWEST LOOP 323, TYLER, TX 75701
(903) 525-9916
(903) 525-9917
Mailing address
3323 S. SOUTHWEST LOOP 323, TYLER, TX 75701
(903) 525-9916
(903) 525-9917
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
TX
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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