Daniel Scott Cornell

NPI #1790320935 in Lewiston, Idaho

Provider Information

NPI Number
1790320935
Entity Type
Individual
Name
Daniel Scott Cornell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Enumeration Date
Nov 12, 2019
Last Updated
Nov 12, 2019

Practice Location

Address
312 MILLER ST
State
Idaho
ZIP Code
83501-1944
Phone
(208) 750-1802

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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