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Individual

DR. ERAIN MARISSA GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
4728
NJ
103T00000X
Psychologist
68 016027
NY
103TS0200X
School Psychologist
Primary
NJ

Other

Enumeration date
05/04/2007
Last updated
08/22/2011
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