Individual
MRS. LINDA ARLINE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSP
Contact information
Practice address
108 UNION STREET, BELFAST, ME 04915-6731
(207) 338-1210
Mailing address
108 UNION STREET, BELFAST, ME 04915-6731
(207) 338-1210
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
ALLS1520
ME
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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