Organization
GREGORY P. GORDON,LCSW,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY PETER GORDON L.C.S.W. (PRESIDENT)
(812) 455-3203
Entity
Organization
Contact information
Practice address
1101 LINCOLN AVE, EVANSVILLE, IN 47714-1028
(812) 455-3203
(812) 401-3090
Mailing address
1101 LINCOLN AVE, EVANSVILLE, IN 47714-1028
(812) 455-3203
(812) 401-3090
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
34002553A
IN
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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