Individual
MRS. BROOKE FARAN CORNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-C
Contact information
Practice address
239 MAIN ST, REISTERSTOWN, MD 21136-1213
(443) 253-5676
Mailing address
2102 EMORY RD, REISTERSTOWN, MD 21136-4020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20919
MD
Other
Enumeration date
01/26/2018
Last updated
11/18/2022
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