Individual
TRACI MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3240 BANNING RD, CINCINNATI, OH 45239-5207
(513) 825-7070
Mailing address
3240 BANNING RD, CINCINNATI, OH 45239-5207
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3107992
OH
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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