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1457634164
KATHERINE LEIGH MCCORMICK
PLACERVILLE, CA
NPI
1457634164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA M1202231250)
Enumeration Date
2011-09-20
Last Update Date
2014-02-19
Business Address
-- KATHERINE LEIGH MCCORMICK
2844 COLOMA ST
PLACERVILLE, CA 95667-4406
Phone number: 530-642-1715
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Mailing Address
-- KATHERINE LEIGH MCCORMICK
PO BOX 1666
PLACERVILLE, CA 95667-1666
Phone number: 530-626-9240
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