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1992290449
KAITLYN CORNELL
CHAMPAIGN, IL
NPI
1992290449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2018-06-27
Last Update Date
2018-08-08
Business Address
KAITLYN CORNELL LCSW
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820
Phone number: 217-356-1558
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Mailing Address
KAITLYN CORNELL LCSW
819 BLOOMINGTON RD
CHAMPAIGN, IL 61820-2101
Phone number: 217-356-1558
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