Individual
MS. AUGUSTA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
117 DOBBIN ST STE 204A, BROOKLYN, NY 11222-2803
(347) 255-7637
(347) 255-7637
Mailing address
117 DOBBIN ST STE 204A, BROOKLYN, NY 11222-2803
(347) 255-7637
(347) 255-7637
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
085939-1
NY
1041C0700X
Clinical Social Worker
Primary
085939-1
NY
Other
Enumeration date
06/21/2012
Last updated
07/02/2019
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