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1073935102
MARTA MCCORMACK
SAN JOSE, CA
NPI
1073935102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 4301)
Enumeration Date
2014-01-08
Last Update Date
2014-01-08
Business Address
-- MARTA MCCORMACK
2425 ENBORG LN
SAN JOSE, CA 95128-2648
Phone number: 408-885-5400
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Mailing Address
-- MARTA MCCORMACK
2425 ENBORG LN
SAN JOSE, CA 95128-2648
Phone number:
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