Individual
MS. SUSAN ELIZABETH GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC-C
Contact information
Practice address
300 W 9TH ST, FREDERICK, MD 21701-4541
(667) 600-3310
(667) 600-4060
Mailing address
300 W 9TH ST, FREDERICK, MD 21701-4541
(667) 600-3310
(667) 600-4060
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA-348
MD
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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