Individual
MS. JUDY ELLEN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
5006 DORSEY HALL DR, C-2, ELLICOTT CITY, MD 21042-7737
(443) 604-2741
Mailing address
5006 DORSEY HALL DR, C-2, ELLICOTT CITY, MD 21042-7737
(443) 604-2741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000294
NY
Other
Enumeration date
10/12/2006
Last updated
05/11/2016
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