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Individual
DEBORAH GORMAN
Active
Individual
DEBORAH GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00061648
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000409117001
EMPIRE BC/BS
—
05
—
00069274
—
NY
01
—
040426031840
FIDELIS
—
01
—
11623959
CAQH
—
01
—
53088
MVP
—
01
—
NH1731
BC/BS
—
01
—
P01430434
MEDICARE RAIL ROAD
NY
Enumeration date
07/28/2006
Last updated
04/23/2015
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