Organization
DAVID P. GORDON, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P. GORDON LICSW (CEO)
(612) 281-7773
Entity
Organization
Contact information
Practice address
1516 W LAKE ST STE 304, MINNEAPOLIS, MN 55408-6601
(612) 281-7773
Mailing address
1516 W LAKE ST STE 304, MINNEAPOLIS, MN 55408-6601
(612) 281-7773
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
01545
MN
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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