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General NPI Number Information
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NPI Number | 1609796879
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Entity Type | Individual
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Provider Name | JUDY ANN GORMAN-PROW
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Gender | Female
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 2435 N CASTRO AVE
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City | TUCSON
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State | AZ
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Zip | 85705-5051
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Country | US
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Telephone | 520-622-8030
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Fax | 520-622-8012
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Provider Business Mailing Address
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Address Line | 1477 W COMMERCE CT
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City | TUCSON
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State | AZ
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Zip | 85746-6016
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Country | US
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Telephone | 520-792-3293
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-24954
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License Number State | AZ
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