Individual
EMMETT ROSE GORMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
33 S 9TH ST, SUITE 210, PHILADELPHIA, PA 19107
(484) 416-6122
Mailing address
900 S 49TH ST APT 2R, PHILADELPHIA, PA 19143-3480
(484) 416-6122
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW133443
PA
1041C0700X
Clinical Social Worker
Primary
CW020281
PA
Other
Enumeration date
04/03/2018
Last updated
06/07/2022
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