Individual
MRS. DEBORAH L GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1043 E 17TH AVE, COLUMBUS, OH 43211-2475
(614) 307-5549
Mailing address
1043 E 17TH AVE, COLUMBUS, OH 43211-2475
(614) 307-5549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
175792
OH
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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