Individual
MRS. ELISSA JILL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
275 PROSPECT ST, NORWOOD, MA 02062-1467
(781) 255-1817
Mailing address
275 PROSPECT ST, NORWOOD, MA 02062-1467
(781) 255-1817
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
210229
MA
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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