Individual
PEGGY MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6775 POINT PLEASANT RD, MILLWOOD, WV 25262-8100
(304) 273-0112
(304) 273-0115
Mailing address
6775 POINT PLEASANT RD, MILLWOOD, WV 25262-8100
(304) 273-0112
(304) 273-0115
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1600061
OH
104100000X
Social Worker
Primary
AP00944379
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1600061
COUNSELOR SOCIAL WORKER MARRIAGE & FAMILY THERAPIST BOARD
OH
01
—
AP00944379
BOARD OF SOCIAL WORK
WV
Enumeration date
12/20/2016
Last updated
12/20/2016
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