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Organization
GORDON COUNSELING AND CASE MANAGEMENT PLLC
Active
Organization
GORDON COUNSELING AND CASE MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE R GORDON LMSW (OWNER)
(517) 281-5718
Entity
Organization
Contact information
Practice address
4463 CRICKET RIDGE DR APT 202, HOLT, MI 48842-2933
(517) 281-5718
Mailing address
PO BOX 43, MASON, MI 48854-0043
(517) 623-6260
(517) 623-6460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801034871
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8008975170
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
07/13/2011
Last updated
06/25/2012
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