Individual
KAREN B CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2305 BRIGHTON DR SE, GRAND RAPIDS, MI 49506-4543
(616) 452-5229
Mailing address
2305 BRIGHTON DR SE, GRAND RAPIDS, MI 49506-4543
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801081509
MI
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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