Thomas, Keeley Mccormack
Thomas, Keeley Mccormack is an sole proprietor health care provider with primary practice located at 5720 Executive Dr Ste 102 , Catonsville MD 21228-1757. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thomas, Keeley Mccormack can be contacted via phone (104) 780-5203.Contact Information
Primary practice address
5720 Executive Dr Ste 102
Catonsville MD 21228-1757
Phone: (104) 780-5203
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 15536 | Maryland |
Profile Details
| NPI number | 1700970787 |
|---|---|
| LBN Legal business name | Thomas, Keeley Mccormack |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Mar 18th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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