Individual
MR. JOHN WATT CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
12900 MIDDLEBROOK ROAD, GERMANTOWN, MD 20874
(301) 588-8881
Mailing address
5315 EDMUNDS PLACE NW, WASHINGTON, DC 20016
(202) 244-9635
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
G11954
MD
1041C0700X
Clinical Social Worker
LG50028254
DC
Other
Enumeration date
01/29/2007
Last updated
07/09/2007
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