Individual
MRS. TISHA TRUJILLO CORNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, BCD
Contact information
Practice address
755 SCOTT CIR, JBPHH, HI 96853-5399
(808) 448-6377
Mailing address
755 SCOTT CIR, JBPHH, HI 96853-5399
(808) 448-6377
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3306
KY
Other
Enumeration date
11/14/2006
Last updated
09/14/2023
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