Individual
MS. KIM ALLISON GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
10 LONGVIEW TER, MADISON, CT 06443-3409
(860) 460-0064
Mailing address
10 LONGVIEW TER, MADISON, CT 06443-3409
(860) 460-0064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003283
CT
Other
Enumeration date
03/23/2007
Last updated
03/24/2022
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