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Individual

MR. ROSS GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7310 DODDINGTON CT, LAUREL, MD 20707-9420
(240) 413-3826
Mailing address
7310 DODDINGTON CT, LAUREL, MD 20707-9420

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30077
MD
104100000X
Social Worker
LG200002611
DC

Other

Enumeration date
06/19/2023
Last updated
06/19/2023
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