Individual
JESSICA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
13451 SE 36TH ST, BELLEVUE, WA 98006-1475
(425) 562-1337
(425) 562-1331
Mailing address
13451 SE 36TH ST, BELLEVUE, WA 98006-1475
(425) 562-1337
(425) 562-1331
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
77548
CA
1041C0700X
Clinical Social Worker
Primary
LW60953236
WA
Other
Enumeration date
07/17/2020
Last updated
08/10/2021
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