Debra Lynne Cornwell

NPI #1366124869 in Centralia, Washington

Provider Information

NPI Number: 1366124869
Entity Type: Individual
Name: Debra Lynne Cornwell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Aug 3, 2023
Last Updated: Aug 3, 2023

Practice Location

Address: 1707 COOKS HILL RD
City: Centralia
State: Washington
ZIP Code: 98531-9071
Phone: (360) 261-6930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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