Samantha Cornelius

NPI #1104633957 in Ellicott City, Maryland

Provider Information

NPI Number: 1104633957
Entity Type: Individual
Name: Samantha Cornelius
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Dec 16, 2024
Last Updated: Dec 16, 2024

Practice Location

Address: 10264 BALTIMORE NATIONAL PIKE STE B
City: Ellicott City
State: Maryland
ZIP Code: 21042-3609
Phone: (410) 908-0830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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