Individual
ERIN B GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
5942 N KOSTNER AVE, CHICAGO, IL 60646-5924
(773) 484-5471
Mailing address
5942 N KOSTNER AVE, CHICAGO, IL 60646-5924
(773) 484-5471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149010560
IL
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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