Individual
ELISA LEE CORNEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
700 WEST AVENUE S, LA CROSSE, WI 54601-8806
(608) 785-0940
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
12780
WI
104100000X
Social Worker
132936-121
WI
1041C0700X
Clinical Social Worker
Primary
12153-123
MN
Other
Enumeration date
06/20/2022
Last updated
06/30/2025
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