NPI | 1346753597 |
---|---|
Former Legal Business Name | CECELIA S CORNELL LCSW |
Entity Type | Organization |
Authorized Contact | CECELIA S. CORNELL Member 312-550-8707 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149008739) |
Enumeration Date | 2017-11-09 |
Last Update Date | 2017-11-09 |