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Individual
JULIE SHEA GORDON
Active
Individual
JULIE SHEA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1600781
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JSG1022
—
OH
Enumeration date
09/10/2013
Last updated
12/15/2023
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