Individual
MRS. REBECCA GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SERVICE COORDINATOR
Contact information
Practice address
341 PEBBLE TRL, ALPHARETTA, GA 30009-3228
(678) 485-0012
Mailing address
341 PEBBLE TRL, ALPHARETTA, GA 30009-3228
(678) 485-0012
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
08/15/2012
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