Individual
REBECCA GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4596
(410) 578-5341
Mailing address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4596
(410) 578-5341
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05503
MD
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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