Individual
MR. HARRISON GOODERHAM MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW BCD
Contact information
Practice address
1881 BITLER HILL ROAD, MUNCY, PA 17756
(570) 546-6250
(570) 546-6250
Mailing address
1881 BITLER HILL ROAD, MUNCY, PA 17756
(570) 546-6250
(570) 546-6250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW000966L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10494721049490
—
PA
Enumeration date
08/31/2006
Last updated
01/21/2011
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