Individual
MR. JONATHAN MITCHELL GORDON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(202) 680-0035
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(202) 680-0035
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
093789
NY
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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