Individual
MS. ELLEN MAE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
182 CHURCH ST, NEWTON, MA 02458-1962
(617) 243-0211
Mailing address
182 CHURCH ST, NEWTON, MA 02458-1962
(617) 243-0211
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
102695
MA
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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