Individual
ROBERT GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 3RD ST UNIT 716, CAMBRIDGE, MA 02142-1177
(774) 328-6548
Mailing address
303 3RD ST UNIT 716, CAMBRIDGE, MA 02142-1177
(774) 328-6548
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
228047
MA
1041C0700X
Clinical Social Worker
228047
MA
Other
Enumeration date
05/24/2022
Last updated
10/19/2022
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