Individual
MS. CYNTHIA MICHELLE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3421 CATON PL, ENID, OK 73701-1235
(580) 747-7098
(580) 234-0370
Mailing address
3421 CATON PL, ENID, OK 73701-1235
(580) 747-7098
(580) 234-0370
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3452-P
OK
1041C0700X
Clinical Social Worker
Primary
4088
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8885473431
—
OK
Enumeration date
11/10/2009
Last updated
05/23/2016
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