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Individual

TRYCEENA MARIE GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
81 LAKE AVE, ROCHESTER, NY 14608-1410
(585) 368-6901
(585) 546-5806
Mailing address
81 LAKE AVE, ROCHESTER, NY 14608-1410
(585) 368-6901
(585) 546-5806

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
03/06/2020
Last updated
03/06/2020
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