Individual
LEEANN GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
13310-B BROOK LANE, HAGERSTOWN, MD 21742-1435
(301) 733-0330
Mailing address
13121 BROOK LANE, HAGERSTOWN, MD 21742
(301) 733-0331
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
24324
MD
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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