Individual
MR. HERMAN AMBROSE CORNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
1777 REISTERSTOWN RD, SUITE 199, BALTIMORE, MD 21208-1306
(410) 764-9400
Mailing address
3865 TWIN LAKES CT, BALTIMORE, MD 21244-3705
(410) 922-1254
(410) 922-1254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04402
MD
Other
Enumeration date
03/30/2008
Last updated
03/30/2008
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