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Individual
MS. MARY SLOAN GORMAN
Active
Individual
MS. MARY SLOAN GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
005502
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005502
STATE OF CT LICENSE
CT
Enumeration date
08/30/2006
Last updated
09/30/2025
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