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1649681370
KEVIN MCCORMACK
ROSWELL, NM
NPI
1649681370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: NM B-3720)
Enumeration Date
2014-05-15
Last Update Date
2014-05-15
Business Address
Mr. KEVIN MCCORMACK LBSW
9 E CHALLENGER ST
ROSWELL, NM 88203-8461
Phone number: 575-347-2409
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Mailing Address
Mr. KEVIN MCCORMACK LBSW
9 E CHALLENGER ST
ROSWELL, NM 88203-8461
Phone number: 575-347-2409
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