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Individual

KELLY VERONICA GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
18947 JOHN J WILLIAMS HWY UNIT 212, REHOBOTH BEACH, DE 19971-4476
(302) 567-8331
Mailing address
18947 JOHN J WILLIAMS HWY UNIT 212, REHOBOTH BEACH, DE 19971-4476
(302) 567-8331
(302) 645-5041

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
18338
MD
1041C0700X
Clinical Social Worker
Primary
Q1-0001511
DE

Other

Enumeration date
09/18/2008
Last updated
04/09/2019
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