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1225164585
KATHLEEN MCCORMICK
PETALUMA, CA
NPI
1225164585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 24602)
Enumeration Date
2007-02-23
Last Update Date
2011-03-21
Business Address
Ms. KATHLEEN MCCORMICK LCSW
6 PETALUMA BLVD N SUITE B4
PETALUMA, CA 94952-3050
Phone number: 510-205-6854
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Mailing Address
Ms. KATHLEEN MCCORMICK LCSW
615 KENTUCKY ST
PETALUMA, CA 94952-2853
Phone number: 510-205-6854
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