Individual
MS. JUDITH E GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5275 APRIL DR, LANGLEY, WA 98260-9773
(360) 321-7226
(360) 321-2674
Mailing address
5275 APRIL DR, LANGLEY, WA 98260-9773
(360) 321-7226
(360) 321-2674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005800
WI
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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