Individual
MS. HELEN ELIZABETH VAN GORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
83 DEERFIELD RD, PORTLAND, ME 04101-1702
(207) 772-4789
Mailing address
83 DEERFIELD RD, PORTLAND, ME 04101-1702
(207) 772-4789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC00934
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008423
ANTHEM BC BS
ME
Enumeration date
01/31/2007
Last updated
04/23/2015
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