Individual
ELIZABETH SHANNON GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7410 DELAWARE LN, VANCOUVER, WA 98664-1408
(360) 566-4432
(360) 695-0628
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60210036
WA
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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