Individual
MRS. CONSTANCE LEE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-SUPV
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
(740) 772-7088
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
(740) 772-7088
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.88887 - S
OH
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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