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MR. RICHARD MICHAEL GORMAN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
18 COMMODORE HULL DR, DERBY, CT 06418-2255
(860) 830-7967
Mailing address
18 COMMODORE HULL DR, DERBY, CT 06418-2255
(860) 830-7967

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003630
CT

Other

Enumeration date
12/26/2018
Last updated
12/26/2018
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