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Individual
NOELLE MCCORMICK
Active
Individual
NOELLE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61389
LICENSED CLINICAL SOCIAL WORKER
TX
Enumeration date
01/22/2020
Last updated
01/22/2020
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