MICHAEL P MCCORMICK

TROY, NY
NPI1164686804
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  19686)
Enumeration Date2008-07-11
Last Update Date2017-01-30
Business Address
-- MICHAEL P MCCORMICK CASAC
2435 6TH AVE
TROY, NY 12180-2227
Phone number: 518-274-5143
Mailing Address
-- MICHAEL P MCCORMICK CASAC
79 GLENRIDGE RD
GLENVILLE, NY 12302-4523
Phone number: 518-952-8408
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