Individual
MR. ALLEN SERGIO MCCORMICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4362 NORTHLAKE BLVD, SUITE 202, PALM BEACH GARDENS, FL 33410-6275
(561) 236-5083
Mailing address
7160 BRICKYARD CIR, LAKE WORTH, FL 33467-7239
(561) 966-3071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3546
LCSW #
FL
Enumeration date
06/30/2005
Last updated
07/08/2007
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