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1477034056
CORNELLISS TAYLOR
GREENBRAE, CA
NPI
1477034056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA ASW82059)
Enumeration Date
2018-08-22
Last Update Date
2022-01-12
Business Address
CORNELLISS TAYLOR MSW, ACSW
250 BON AIR RD UNIT B
GREENBRAE, CA 94904-1702
Phone number: 415-473-6666
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Mailing Address
CORNELLISS TAYLOR MSW, ACSW
1271 WASHINGTON AVE 474 SAN LEANDRO, CA 94577
SAN LEANDRO, CA 94577
Phone number: 510-820-5300
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