Individual
MRS. BOBBIE J GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
854 WOODBINE RD, HIGHLAND PARK, IL 60035-3734
(847) 831-5594
Mailing address
854 WOODBINE RD, HIGHLAND PARK, IL 60035-3734
(847) 831-5594
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-002059
IL
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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