Individual
TIMOTHY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
70 NORTH ST, DANBURY, CT 06810-5609
(914) 222-3118
Mailing address
29 LAKEVIEW RD, NORTH SALEM, NY 10560-2910
(914) 355-0004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7828
CT
Other
Enumeration date
07/21/2023
Last updated
07/22/2023
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