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Individual
JERRY ANDREW GORMAN
Active
Individual
JERRY ANDREW GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW93390
CA
Other
Enumeration date
10/09/2018
Last updated
01/23/2020
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