Individual
MRS. CASEY MARIE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 NEW MOHAWK RD, 200, NEVADA CITY, CA 95959-3244
(530) 478-0900
Mailing address
14333 LODGEPOLE DR, PENN VALLEY, CA 95946-9574
(530) 432-3813
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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