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Individual
MR. ALDIN LESLIE GORDON
Active
Individual
MR. ALDIN LESLIE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC4829
MD
101YP2500X
Professional Counselor
LC4829
MD
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LC4829
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086022100
—
MD
Enumeration date
05/06/2008
Last updated
09/14/2023
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