Individual
MR. CHARLES C MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MSW, LCSW-C
Contact information
Practice address
6525 N CHARLES ST, SUITE 239, TOWSON, MD 21204-6872
(410) 938-8499
(410) 938-4444
Mailing address
6525 N CHARLES ST, SUITE 239, TOWSON, MD 21204-6872
(410) 938-8499
(410) 938-4444
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2920
MD
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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