Individual
ALYSSA KORNOWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 E LIVINGSTON AVE, COLUMBUS, OH 43205-2618
(614) 722-8210
(614) 722-8422
Mailing address
DEPT 781625, DETROIT, MI 48278-1625
(614) 355-8004
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S1302532
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
11/11/2014
Last updated
11/11/2014
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