Individual
MARY C GORNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLMFT
Contact information
Practice address
307 WEST MAIN STREET, MARSAHLLTOWN, IA 50158
(319) 450-2615
Mailing address
3102 PARKVIEW CT SE, CEDAR RAPIDS, IA 52403-1912
(319) 373-0425
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
074561
IA
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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