Individual
LAURI H MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1406B CRAIN HWY S, SUITE 206, GLEN BURNIE, MD 21061-4099
(410) 768-6088
(410) 768-6444
Mailing address
3428 CONSTELLATION DR, SUITE 206, DAVIDSONVILLE, MD 21035-1341
(443) 994-1048
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4751
MD
Other
Enumeration date
12/09/2012
Last updated
02/21/2017
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