Individual
AMANDA GORDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44101 AIRPORT VIEW DR, HOLLYWOOD, MD 20636-3145
(301) 373-3065
Mailing address
PO BOX 129, HOLLYWOOD, MD 20636-0129
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22465
MD
Other
Enumeration date
08/15/2017
Last updated
10/03/2024
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