Individual
CRAIG GOURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW , LSW
Contact information
Practice address
7052 ROUTE 6N, EDINBORO, PA 16412-9610
(814) 734-3975
(814) 734-1265
Mailing address
7052 ROUTE 6N, EDINBORO, PA 16412-9610
(814) 734-3975
(814) 734-1265
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW135039
PA
Other
Enumeration date
09/21/2021
Last updated
03/12/2024
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