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Individual
MR. RICHARD MARK MCCORMICK
Active
Individual
MR. RICHARD MARK MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2005030089
MO
101YP2500X
Professional Counselor
Primary
180.006978
IL
Other
Enumeration date
07/28/2006
Last updated
09/03/2008
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