Individual
FREDDY GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADT
Contact information
Practice address
14 S BROADWAY, BALTIMORE, MD 21231-1712
(443) 934-6861
Mailing address
14 S BROADWAY, BALTIMORE, MD 21231-1712
(443) 934-6861
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT3186
MD
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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