THEODORE K GORE

EVANSVILLE, IN
NPI1295004505
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34002569A)
Enumeration Date2011-12-16
Last Update Date2011-12-16
Business Address
-- THEODORE K GORE LCSW
7200 E INDIANA ST
EVANSVILLE, IN 47715-2753
Phone number: 812-476-7200
Mailing Address
-- THEODORE K GORE LCSW
PO BOX 1230
EVANSVILLE, IN 47706-1230
Phone number: 812-450-6815