Individual
MRS. DANIELLE J GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 E MAIN ST STE 109, MIDDLETOWN, NY 10940-4038
(845) 825-3568
Mailing address
18 VALLEY VIEW RD, GOSHEN, NY 10924-6439
(845) 825-3568
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P113499
NY
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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