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Individual

ADAM J GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
6363 DEZAVALA RD, SAN ANTONIO, TX 78249
(210) 399-4838
Mailing address
208 OAK HOLLOW DR, LA VERNIA, TX 78121-9788
(254) 717-8241

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
67787
TX

Other

Enumeration date
08/16/2019
Last updated
08/16/2019
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