Individual
MS. CAMILLA A CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCSW
Contact information
Practice address
915 OLIVE ST, GREENSBORO, NC 27401-1532
(336) 230-0647
(336) 230-1214
Mailing address
915 OLIVE ST, GREENSBORO, NC 27401-1532
(336) 230-0647
(336) 230-1214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001349
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24471
BLUE CROSS BLUE SHIELD
NC
Enumeration date
07/10/2006
Last updated
07/08/2007
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