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1659904787
MICHAEL GORMAN
LOWELL, MA
NPI
1659904787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
MICHAEL GORMAN
22 OLD CANAL DR
LOWELL, MA 01851-2730
Phone number: 979-452-5155
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Mailing Address
MICHAEL GORMAN
22 OLD CANAL DR
LOWELL, MA 01851-2730
Phone number: 978-452-5155
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