Individual
JUDIENE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5120 N 6TH ST, PHILADELPHIA, PA 19120-3147
(215) 400-3770
Mailing address
5120 N 6TH ST, PHILADELPHIA, PA 19120-3147
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
127188
PA
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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