Individual
MRS. ANNE T CORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW INTERN
Contact information
Practice address
1150 W AVENUE J, LANCASTER, CA 93534-3331
(661) 951-4076
Mailing address
44245 KINGTREE AVE, # 21, LANCASTER, CA 93534-4161
(661) 726-0712
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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