Individual
MS. ISABELLA G GORMANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3809 ROSEWOOD DR, COLUMBIA, SC 29205-3533
(803) 939-2642
Mailing address
3809 ROSEWOOD DR, COLUMBIA, SC 29205-3533
(803) 939-2642
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13649
SC
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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