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Individual

MRS. CAROLYN MAY GORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
341 WEST ST UNIT B, PLANTSVILLE, CT 06479-1140
(203) 819-0789
Mailing address
133 HIGH ST, WALLINGFORD, CT 06492-3169
(860) 834-1312

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002318
CT
101YP2500X
Professional Counselor
002318
CT

Other

Enumeration date
09/19/2014
Last updated
09/16/2021
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