Individual
JENNIFER GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
47 PALOMBA DR, ENFIELD, CT 06082-3868
(860) 253-5020
(860) 253-5030
Mailing address
19 CIRCLE DR, ENFIELD, CT 06082-2712
(860) 741-7195
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001019
CT
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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