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Organization
PATRICIA E. GORDON, LCSW-R, LLC
Active
Organization
PATRICIA E. GORDON, LCSW-R, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA E. GORDON LCSW-R (PSYCHOTHERAPIST)
(203) 733-8033
Entity
Organization
Contact information
Practice address
68 VIRGINIA AVE, #7, DANBURY, CT 06810-5764
(203) 733-8033
(203) 612-2337
Mailing address
68 VIRGINIA AVE, #7, DANBURY, CT 06810-5764
(203) 733-8033
(203) 612-2337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D30069939
MEDICARE PTAN
CT
Enumeration date
08/27/2015
Last updated
08/27/2015
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