Individual
JOLEAH STILES GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2333 ONTARIO RD NW, WASHINGTON, DC 20009-2627
(202) 483-8196
Mailing address
2333 ONTARIO RD NW, WASHINGTON, DC 20009-2627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LG50082893
DC
1041C0700X
Clinical Social Worker
Primary
LC200001384
DC
Other
Enumeration date
06/11/2019
Last updated
10/26/2021
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