Individual
STUART GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW,CADC
Contact information
Practice address
575 E PLUMB LN, RENO, NV 89502-3540
(775) 329-0623
(775) 337-2971
Mailing address
575 E PLUMB LN, RENO, NV 89502-3540
(775) 329-0623
(775) 337-2971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2725-C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509379
—
NV
Enumeration date
09/10/2007
Last updated
07/08/2008
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