Individual
AMY GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
178 STATE ST, MERIDEN, CT 06450-3242
(203) 630-1568
Mailing address
78 MERIDEN RD, ROCKFALL, CT 06481
(860) 985-5942
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11030
CT
Other
Enumeration date
02/27/2018
Last updated
04/29/2021
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