Individual
MADISON MARIE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
239 W FIFTH ST, MANTENO, IL 60950-1113
(815) 644-0850
Mailing address
239 W FIFTH ST, MANTENO, IL 60950-1113
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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