Individual
DARLENE S GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 RETIREMENT DR, HARDY, VA 24101-3988
(540) 719-2900
Mailing address
479 BOXWOODGREEN DR, WIRTZ, VA 24184-2712
(804) 921-3942
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007693
VA
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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