TERRI L GORMAN

Dr TERRI L GORMAN is a female medical professional, specializing in Clinical Social Worker. She graduated in 1998.

Contact

1335 PHAY AVE
CANON CITY
CO
812122334

Tel:

TERRI L GORMAN Information

Npi 1114258670
Pac Id 9032395009
Professional Enrollment Id I20110516000009
Last Name GORMAN
First Name TERRI
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1998
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1335 PHAY AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CANON CITY
State CO
Zip Code 812122334
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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