Individual
MS. JENNIFER IVY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
156 MAIN ST, MONTPELIER, VT 05602-2702
(802) 223-4738
(802) 223-6067
Mailing address
PO BOX 547, CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT, BARRE, VT 05641-0547
(802) 223-4738
(802) 223-6067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000857
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008603
—
VT
Enumeration date
10/16/2006
Last updated
12/09/2013
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