Individual
JUSTINA GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4641 FULTON DR NW, CANTON, OH 44718-2384
(330) 933-5808
Mailing address
4641 FULTON DR NW, CANTON, OH 44718-2384
(330) 933-5808
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1400211
OH
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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