MARY LARISSA GORMAN

SAINT PAUL, MN
NPI1790078517
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302977)
Enumeration Date2011-05-26
Last Update Date2011-05-26
Business Address
Ms. MARY LARISSA GORMAN MA, LADC
135 COLORADO ST E
SAINT PAUL, MN 55107-2244
Phone number: 651-489-7740
Mailing Address
Ms. MARY LARISSA GORMAN MA, LADC
135 COLORADO ST E
SAINT PAUL, MN 55107-2244
Phone number: 651-489-7740
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