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1750925301
LAURA J GORMLY
BAYSIDE, NY
NPI
1750925301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY R309992-1)
Enumeration Date
2019-11-06
Last Update Date
2019-11-06
Business Address
MS. LAURA J GORMLY LCSW-R
4560 211TH ST
BAYSIDE, NY 11361-3248
Phone number: 718-309-6883
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Mailing Address
MS. LAURA J GORMLY LCSW-R
4560 211TH ST
BAYSIDE, NY 11361-3248
Phone number: 718-309-6883
Copy
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