Individual
ELIZABETH MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2810 CHARLEVOIX RD STE 102, PETOSKEY, MI 49770-8421
(231) 340-9113
(231) 642-9116
Mailing address
8117 HEDRICK RD, HARBOR SPRINGS, MI 49740-9523
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801092673
MI
Other
Enumeration date
04/26/2006
Last updated
01/24/2023
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