MR. Roscoe Gorham, LICSW, CADAC
NPI #1124208038 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1124208038
- Entity Type
- Individual
- Name
- MR. Roscoe Gorham, LICSW, CADAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW, CADAC
- Enumeration Date
- Nov 7, 2007
- Last Updated
- Nov 7, 2007
Practice Location
- Address
- 23 REYEM ST
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02453-5401
- Phone
- (781) 330-9357
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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