Individual
MRS. JAIME NICOLE GORMLEY
Active
Individual
MRS. JAIME NICOLE GORMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0695
NH
1041C0700X
Clinical Social Worker
Primary
1564
NH
Other
Enumeration date
06/18/2010
Last updated
12/06/2019
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