Individual
CIMENA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2277 HIGHWAY 36 W, SUITE 310, ROSEVILLE, MN 55113-3804
(651) 224-2172
Mailing address
PO BOX 7903, SAINT PAUL, MN 55107-0903
(651) 224-2172
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16486
MN
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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