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Individual

RICHARD WILLIAM GORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC-MHSP (TEMP)

Contact information

Practice address
5200 MARYLAND WAY STE 102, BRENTWOOD, TN 37027-5072
(615) 377-1153
Mailing address
5200 MARYLAND WAY STE 102, BRENTWOOD, TN 37027-5072
(773) 251-5841

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
TN

Other

Enumeration date
05/06/2022
Last updated
05/06/2022
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