Individual
PROF. LLEWELLYN CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LCSW
Contact information
Practice address
306 GATEHOUSE LN APT H, ODENTON, MD 21113-2838
(443) 934-5034
Mailing address
1025 HILLARY LN, LAWRENCEVILLE, GA 30043-6699
(443) 934-5034
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11763
MD
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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