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Individual

CRYSTAL DAWN O'GORMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
6401 CARMEL RD STE 105, CHARLOTTE, NC 28226-8364
(704) 275-3432
Mailing address
6401 CARMEL RD STE 105, CHARLOTTE, NC 28226-8364
(704) 275-3432

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
01661
NC
106H00000X
Marriage & Family Therapist
8214
SC

Other

Enumeration date
03/08/2023
Last updated
03/01/2026
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