Individual
SAMANTHA MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
18 NEWTON ST, BROCKTON, MA 02301-5115
(508) 583-6498
(508) 583-3775
Mailing address
18 NEWTON ST, BROCKTON, MA 02301-5115
(508) 583-6498
(508) 583-3775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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