Individual
JOHN FRANCIS GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1506 1ST ST, PRINCETON, MN 55371-1462
(763) 389-5080
(763) 389-5453
Mailing address
210 15TH AVE N, APARTMENT 205, WAITE PARK, MN 56387-1197
(952) 201-6490
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301764
MN
Other
Enumeration date
09/16/2012
Last updated
09/16/2012
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