LAURA GORT

ATWATER, CA
NPI1124310883
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-05-12
Last Update Date2011-05-12
Business Address
Mrs. LAURA GORT
508 MENDOCINO CT
ATWATER, CA 95301-4230
Phone number: 209-357-5261
Mailing Address
Mrs. LAURA GORT
559 MENDOCINO CT
ATWATER, CA 95301-4230
Phone number: 209-357-5200