Most Relevant Information
Provider Data
| NPI Number: | 1003053497 |
| Provider Name: | KIMBERLY A MCCORMICK LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 4590-125 |
Most Important Dates
| Enumeration Date: | 01/07/2009 |
| Last Updated: | 06/06/2011 |
Provider Practice Location
833 N 26TH ST
MILWAUKEE
WI
532331507
Practice Location Phone/Fax
| Phone: | 4143447676 |
| Fax: |
Provider Mailing Location
833 N 26TH ST
MILWAUKEE
WI
532331507
Provider Mailing Phone/Fax
| Phone: | 4143447676 |
| Fax: |