Individual
MAURINE ELIZABETH MCCORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
1538 CHELSEA ST, SAINT PAUL, MN 55108-2310
(612) 804-6704
Mailing address
1538 CHELSEA ST, SAINT PAUL, MN 55108-2310
(612) 804-6704
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19169
MN
Other
Enumeration date
07/07/2012
Last updated
07/07/2012
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