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Individual

DANIEL ADAM GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1525 E 53RD ST STE 1009, CHICAGO, IL 60615-4547
(312) 566-1702
Mailing address
1525 E 53RD ST STE 1009, CHICAGO, IL 60615-4547
(312) 566-1702

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015415
IL

Other

Enumeration date
09/18/2008
Last updated
03/15/2021
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