ELIZA LEE CORNEJO

LA CROSSE, WI
NPI1629709738
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: WI  132936-121)
Additional Taxonomies104100000X Social Worker
(Licence: WI  12780)
Enumeration Date2022-06-20
Last Update Date2022-12-22
Business Address
ELIZA LEE CORNEJO
605 4TH ST S
LA CROSSE, WI 54601-4458
Phone number: 608-622-7612
Mailing Address
ELIZA LEE CORNEJO
N17025 DALE VALLEY LN
GALESVILLE, WI 54630-8723
Phone number: 608-792-2329