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Organization
KATHLEEN GORMAN-EZELL, PH.D, LISW, LLC
Active
Organization
KATHLEEN GORMAN-EZELL, PH.D, LISW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN GORMAN-EZELL MSW, PHD, LISW-S (PRESIDENT)
(419) 344-9940
Entity
Organization
Contact information
Practice address
499 VILLAGE PARK DR, POWELL, OH 43065-6605
(614) 745-9484
Mailing address
3323 WINDY FOREST LN, POWELL, OH 43065-7381
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0700024-SUPV
OH
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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