Individual
DANIELLE MCCARTY GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2908 LAKEVIEW DR STE 100, FERN PARK, FL 32730-2017
(502) 415-8735
Mailing address
2908 LAKEVIEW DR STE 100, FERN PARK, FL 32730-2017
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
252715
KY
1041C0700X
Clinical Social Worker
254516
KY
1041C0700X
Clinical Social Worker
Primary
SW16800
FL
Other
Enumeration date
07/25/2017
Last updated
08/03/2020
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