Individual
KRISTY MICHELLE MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
6011B TROTWOOD AVE, COLUMBIA, TN 38401
(931) 560-3057
Mailing address
6011B TROTWOOD AVE, COLUMBIA, TN 38401
(931) 560-3057
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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