Individual
MR. GREGORY PETER GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1101 LINCOLN AVE, EVANSVILLE, IN 47714-1028
(812) 455-3203
(812) 401-3090
Mailing address
5200 WASHINGTON AVE, STE B, EVANSVILLE, IN 47715-4863
(812) 455-3203
(812) 401-3090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002553A
IN
Other
Enumeration date
06/07/2006
Last updated
01/12/2018
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