Individual
BENJAMIN MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4 WYNDON RD, BALLSTON LAKE, NY 12019-2527
(518) 952-9206
Mailing address
4 WYNDON RD, BALLSTON LAKE, NY 12019-2527
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
098010
NY
1041C0700X
Clinical Social Worker
Primary
089257
NY
Other
Enumeration date
09/27/2017
Last updated
12/14/2021
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