Individual
BRIAN ROBERT MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1119 RARITAN AVE, HIGHLAND PARK, NJ 08904
(732) 246-8439
Mailing address
1 CEDAR COURT, HACKETTSTOWN, NJ 07840
(201) 669-7321
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06203800
NJ
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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