Individual
MS. BONNY SUE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1603 E FOURTH PLAIN BLVD, V3 SATP, VANCOUVER, WA 98661-3753
(360) 696-4061
Mailing address
1603 E FOURTH PLAIN BLVD, V3 SATP, VANCOUVER, WA 98661-3753
(360) 696-4061
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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