PAUL JOSEPH MCCORMICK

BRAINERD, MN
NPI1295255537
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  304839)
Enumeration Date2017-06-27
Last Update Date2017-06-27
Business Address
PAUL JOSEPH MCCORMICK
823 MAPLE ST
BRAINERD, MN 56401-3770
Phone number: 218-454-3828
Mailing Address
PAUL JOSEPH MCCORMICK
27416 COUNTY ROAD 36
AITKIN, MN 56431-6042
Phone number: