Individual
MADISON GORSUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 BUSINESS CENTER WAY STE 102, EDGEWOOD, MD 21040-1504
(443) 461-3311
Mailing address
208 CREE TER, RISING SUN, MD 21911-1308
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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