Individual
MR. NOAM GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSC
Contact information
Practice address
5733 RESTAL ST, FITCHBURG, WI 53711-5238
(608) 335-6456
Mailing address
5733 RESTAL ST, FITCHBURG, WI 53711-5238
(608) 335-6456
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5724-125
WI
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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