NPI | 1568552867 |
---|---|
Professional Name | KATHLEEN MCCORMICK, LCSW, LLC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000714) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 10854) |
Enumeration Date | 2006-10-15 |
Last Update Date | 2007-07-08 |