Individual
AMY MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1822 KEEAUMOKU ST, HONOLULU, HI 96822-3001
(808) 524-4673
Mailing address
1822 KEEAUMOKU ST, HONOLULU, HI 96822-3001
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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