Individual
RORY CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
527 CROCKER ST, LOS ANGELES, CA 90013-2116
(213) 488-9559
Mailing address
1212 W 110TH ST APT 6, LOS ANGELES, CA 90044-1468
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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