Kathleen Joan Gorman LICSW

NPI 1063461168 - Social Worker - 1041C0700X

NPI Details
NPI 1063461168
Gender Female
Enumeration Date 05/08/2006
Last Updated 06/07/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
36745 AIKEN ROAD
BAYFIELD WI, 54814-4579, US
Phone (715) 779-3707
Fax (715) 779-3362
Business Location
36745 AIKEN ROAD
BAYFIELD WI, 54814-4579, US
Phone (715) 779-3707
Fax (612) 379-8235
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 13306
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According to our database, Kathleen Joan Gorman LICSW NPI is 1063461168, taxonomy code is 1041C0700X and license number is 13306, license state is located at Minnesota. Kathleen Joan Gorman LICSW physically located at 36745 Aiken Road, Bayfield WI, 54814-4579. NPI Number Kathleen Joan Gorman LICSW has the Individual type.

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1063461168 NPI number is provided on an as is basis without warranty of any kind. 1063461168 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Joan Gorman LICSW are for informational purposes only.