Individual
MARLENA SCARLET GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
27 PINE ST, PORTLAND, ME 04102-5306
(973) 943-2844
Mailing address
27 PINE ST, PORTLAND, ME 04102-5306
(973) 943-2844
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114021
NY
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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