Individual
KATHLEEN O'BRIEN MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8548
(253) 697-8598
Mailing address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8548
(253) 697-8598
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001132
WA
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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