Individual
MS. DEBRA LYNN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
950 RAMONA BLVD STE 2, SAN JACINTO, CA 92583
(951) 487-2674
Mailing address
26910 PLACENTIA AVE, PERRIS, CA 92571
(951) 443-4493
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS22902
CA
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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