Individual
MS. MAUREEN ANNE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9860 SW HALL BLVD, SUITE C2, TIGARD, OR 97223-8896
(503) 201-1216
Mailing address
10570 NW FLOTOMA DR, PORTLAND, OR 97229-6225
(503) 201-1216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3053
OR
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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