Individual
ALEXANDER JAMES GOREHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3815 HIGHLAND AVE, CAC - EMERGENCY DEPARTMENT, DOWNERS GROVE, IL 60515-1500
(630) 275-6107
Mailing address
3815 HIGHLAND AVE, CAC - EMERGENCY DEPARTMENT, DOWNERS GROVE, IL 60515-1500
(847) 946-0169
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150015232
IL
Other
Enumeration date
06/05/2015
Last updated
11/29/2016
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