Individual
MRS. ASHLEY NICOLE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7705
Mailing address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7705
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801089730
MI
1041C0700X
Clinical Social Worker
6801089730
MI
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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