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Individual

ERIC JOHN GORHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10 BROWN ST, NORWICH, CT 06360-6202
(860) 442-4363
Mailing address
10 BROWN ST, NORWICH, CT 06360-6202
(860) 442-4363

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
06/10/2013
Last updated
06/10/2013
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