# MS. JENNIFER IVY GORDON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013097161
- **Gender:** F
- **Credential:** MSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 089-0000857 | VT | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 12/09/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1008603 | — | VT |