Individual
KYRA MCCORMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, CSW
Contact information
Practice address
7711 EWING BLVD, FLORENCE, KY 41042-7533
(859) 282-4486
Mailing address
7711 EWING BLVD, FLORENCE, KY 41042-7533
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
KY-4765
KY
Other
Enumeration date
05/23/2007
Last updated
07/16/2007
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