Individual
BARRY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
270 FARMINGTON AVE STE 309, FARMINGTON, CT 06032-1953
(860) 677-5570
(860) 677-9570
Mailing address
270 FARMINGTON AVE STE 309, FARMINGTON, CT 06032-1953
(860) 677-5570
(860) 677-9570
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007502
CT
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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