Kathleen E. Gorman-Ezell, L.I.S.W.

NPI #1528283603 in Maumee, Ohio

Provider Information

NPI Number: 1528283603
Entity Type: Individual
Name: Kathleen E. Gorman-Ezell, L.I.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: L.I.S.W.
Enumeration Date: Apr 16, 2007
Last Updated: Mar 12, 2008

Practice Location

Address: 1645 INDIAN WOOD CIR
Address 2: SUITE 202
City: Maumee
State: Ohio
ZIP Code: 43537-4400
Phone: (419) 794-0567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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