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Individual

MS. DONNA M GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
26 STONEHAM DR, WEST HARTFORD, CT 06117-2250
(860) 983-1460
Mailing address
26 STONEHAM DR, WEST HARTFORD, CT 06117-2250
(860) 983-1460

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106777
MA

Other

Enumeration date
03/29/2012
Last updated
03/29/2012
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