Individual
ELIZABETH GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3076 38TH ST APT 4D, ASTORIA, NY 11103-3857
(914) 815-2791
Mailing address
3076 38TH ST APT 4D, ASTORIA, NY 11103-3857
(914) 815-2791
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
093196
NY
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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