| Doctor Name: | MARY LOU GORZELIC |
| NPI Number: | 1750391785 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | CW015428 |
| Business Practice Address: | 105 W Broad St Fl 2 Tamaqua, PA - 182521916 |
| Business Phone Number: | 6107375818 |
| Business Fax Number: | 6102537062 |
| Mailing Address: | 3617 Tennessee Dr, OREFIELD |
| State: | PA |
| Postal Code: | 180693038 |
| Phone Number: | 6107375818 |
| Fax Number: | 6102537062 |
| NPI Enumeration Date: | 08/09/2006 |
| NPI Last Update Date: | 10/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CW015428 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |