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1699138578
BRIAN KENNETH MCCORMACK
NEW YORK, NY
NPI
1699138578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 058633)
Enumeration Date
2016-03-30
Last Update Date
2016-03-30
Business Address
Mr. BRIAN KENNETH MCCORMACK LCSW
1133 BROADWAY SUITE 540
NEW YORK, NY 10010
Phone number: 212-560-7103
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Mailing Address
Mr. BRIAN KENNETH MCCORMACK LCSW
248 BARD AVENUE #2
STATEN ISLAND, NY 10310-1660
Phone number: 212-560-7103
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