Individual
MS. LORI JEAN GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
237 MILLBURY ST, WORCESTER, MA 01610
(508) 775-1228
Mailing address
19 CRO-SHEE LANE, LEOMINSTER, MA 01453
(978) 466-6447
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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