Individual
DONNA MARIE GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMFT, LCAC
Contact information
Practice address
1319 W MAY ST, WICHITA, KS 67213-3505
(316) 262-0505
(316) 262-7384
Mailing address
1319 W MAY ST, WICHITA, KS 67213-3505
(316) 262-0505
(316) 262-7384
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
356
KS
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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