Individual
ELISA MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9808 VENICE BLVD, SUITE 505, CULVER CITY, CA 90232-2732
(310) 945-3350
(310) 945-3356
Mailing address
9808 VENICE BLVD, SUITE 505, CULVER CITY, CA 90232-2732
(310) 945-3350
(310) 945-3356
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
12/17/2014
Last updated
09/11/2023
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