Individual
GWEN GORMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2817 W GLENWOOD AVE, PHILADELPHIA, PA 19121-1810
(845) 596-7054
Mailing address
64 W HILLCREST AVE, HAVERTOWN, PA 19083-1433
(845) 596-7054
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
094951-1
NY
1041C0700X
Clinical Social Worker
Primary
CW020491
PA
Other
Enumeration date
02/29/2016
Last updated
08/18/2020
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