Individual
TERRELL GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CSW
Contact information
Practice address
818 MAIN ST STE A, PINEVILLE, LA 71360
(318) 443-9035
(318) 443-9037
Mailing address
818 MAIN ST STE A, PINEVILLE, LA 71360-6409
(318) 443-9035
(318) 443-9037
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14146
LA
171M00000X
Case Manager/Care Coordinator
14146
LA
Other
Enumeration date
01/13/2017
Last updated
11/12/2020
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