Individual
MARY B. GORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC/SLP
Contact information
Practice address
2001 LONG KNIFE CT, LOUISVILLE, KY 40207-1176
(502) 797-1371
Mailing address
2001 LONG KNIFE CT, LOUISVILLE, KY 40207-1176
(502) 797-1371
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22001261A
IN
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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