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MAEVE KENNEDY GORMLY LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1578926150

Individual Registrant:
 MAEVE KENNEDY GORMLY LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
HIGHWAY 101 NORTH  SOLEDAD, CA 93960 US
Tel: 831-678-3951  Fax: --

Contact information for business:
PO BOX 686  SOLEDAD, CA 93960-0686 US
Tel: 831-678-3951  Fax: --

Registration Information:
NPI: 1578926150
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CA61896
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
CA82235

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BOARD OF BEHAVIORAL SCIENCES82235CA01




HEALTH CARE JOBS CA - Page 1



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