Individual
ELIZABETH ANNE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2144 BONITA WAY S, ST PETERSBURG, FL 33712-4218
(727) 415-1808
Mailing address
2144 BONITA WAY S, ST PETERSBURG, FL 33712-4218
(727) 415-1808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002440700
—
FL
Enumeration date
06/15/2010
Last updated
07/21/2022
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