Individual
AMY ADELA MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
825 MONROE ST STE 1, EUGENE, OR 97402-5176
(541) 520-6843
Mailing address
1508 BAR M DR UNIT A, EUGENE, OR 97401-6998
(541) 520-6843
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4216
OR
Other
Enumeration date
12/10/2008
Last updated
10/04/2013
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