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Individual
NICOLE L GORDON
Active
Individual
NICOLE L GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW138755
PA
1041C0700X
Clinical Social Worker
103495
NY
1041C0700X
Clinical Social Worker
34561
MD
1041C0700X
Clinical Social Worker
Primary
CW025576
PA
1041C0700X
Clinical Social Worker
LW61666708
WA
1041C0700X
Clinical Social Worker
Primary
SW138755
PA
Other
Enumeration date
12/26/2021
Last updated
09/17/2026
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