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Individual

GAREY THOMAS GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3000 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3718
(202) 581-0490
(202) 581-0496
Mailing address
847 HR DR SE, WASHINGTON, DC 20032-6013
(240) 318-6405

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/08/2014
Last updated
07/13/2023
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