Individual
CORRIE LYNN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 358-3611
Mailing address
2600 CENTER ST NE, SALEM, OR 97301-2682
(954) 644-9995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5173
OR
Other
Enumeration date
11/29/2009
Last updated
02/12/2020
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