Individual
LINDSEY AMANDA MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 PRINCE CHARLES ST, RED SPRINGS, NC 28377-1241
(910) 309-7570
Mailing address
113 PRINCE CHARLES ST, RED SPRINGS, NC 28377-1241
(910) 309-7570
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NC
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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