Individual
ANDREA RENEE CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-6534
Mailing address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-6534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1910-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1910-C
ARKANSAS STATE LICENSING BOARD
AR
Enumeration date
06/22/2021
Last updated
06/22/2021
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