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1083835565
JEAN MCCORMICK
LOUISVILLE, KY
NPI
1083835565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: KY KY-2006)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
-- JEAN MCCORMICK
3324 FRONTIER TRAIL
LOUISVILLE, KY 40220-2654
Phone number: 502-435-6316
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Mailing Address
-- JEAN MCCORMICK
5107 VILLA PLACE
LA GRANGE, KY 40031-8958
Phone number:
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