Individual
MRS. MARIE GABRIELLE GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 297-2627
Mailing address
9133 W MONTANA DE ORO DR, PEORIA, AZ 85383-2202
(623) 297-2627
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6147
AZ
Other
Enumeration date
08/08/2018
Last updated
08/08/2019
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