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Individual

ALYSON MCCORMICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
312 W 119TH ST APT 4I, NEW YORK, NY 10026-1065
(212) 365-8190
Mailing address
312 W 119TH ST APT 4I, NEW YORK, NY 10026-1065
(212) 365-8190

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
037010-01
NY

Other

Enumeration date
11/11/2020
Last updated
11/11/2020
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