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Individual
MRS. SUSAN LINDER GORDON
Active
Individual
MRS. SUSAN LINDER GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CS001099
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043152196701
MERCY HEALTH PLAN
—
01
—
129174
VALUEOPTIONS
—
01
—
23331
BLUE CROSS BLUE SHIELD
—
01
—
561150
HEALTHLINK NON PAR
—
01
—
622439
UNITED BEHAVIORAL HEALTH
—
Enumeration date
10/19/2006
Last updated
07/08/2007
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