Individual
CARRIE CORNWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2275 RESEARCH BLVD, ROCKVILLE, MD 20850-3268
(240) 366-1191
Mailing address
2275 RESEARCH BLVD, ROCKVILLE, MD 20850-3268
(240) 366-1191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP10191
MD
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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