Individual
KATHLEEN J GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
75-5751 KUAKINI HWY STE 101A, KAILUA KONA, HI 96740-1705
(808) 326-5629
Mailing address
75-5751 KUAKINI HWY, STE 203, KAILUA KONA, HI 96740-1753
(808) 326-5629
(808) 329-9370
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
13306
MN
1041C0700X
Clinical Social Worker
Primary
4323
HI
1041C0700X
Clinical Social Worker
7600-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
719497800
CADI
—
Enumeration date
05/08/2006
Last updated
09/13/2019
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