Individual
JANA L GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
765 E ROUTE 70, BUILDING A, MARLTON, NJ 08053
(856) 983-3900
Mailing address
933 FRANCINE DRIVE, CHERRY HILL, NJ 08003
(215) 300-5288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05156700
NJ
1041C0700X
Clinical Social Worker
CW013669
PA
Other
Enumeration date
11/20/2006
Last updated
03/08/2011
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