Individual
MRS. AMY MARGARET GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
380 DRAKE DRIVE, DRAKE ELEMENTARY SCHOOL, NORTH TONAWANDA, NY 14120
(716) 807-3734
(716) 807-3726
Mailing address
380 DRAKE DRIVE, DRAKE ELEMENTARY SCHOOL, NORTH TONAWANDA, NY 14120
(716) 807-3734
(716) 807-3726
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
50760
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01377162
—
NY
Enumeration date
10/11/2011
Last updated
10/11/2011
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