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1225295074
MICHAEL VINCENT MCCORMICK
SAN MATEO, CA
NPI
1225295074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA CAADE # 051080)
Enumeration Date
2008-05-20
Last Update Date
2011-11-30
Business Address
MR. MICHAEL VINCENT MCCORMICK C.A.T.C. 11
720 SOUTH B ST BLDG# M-1 M-2
SAN MATEO, CA 94401
Phone number: 650-579-7157
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Mailing Address
MR. MICHAEL VINCENT MCCORMICK C.A.T.C. 11
720 SOUTH B ST
SAN MATEO, CA 94401
Phone number: 650-579-7157
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