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Individual

MS. SUSAN M GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
330 PORTSMOUTH AVE, GREENLAND, NH 03840-2220
(603) 207-2197
(603) 377-8425
Mailing address
609 PORTSMOUTH AVE # 304, GREENLAND, NH 03840-9998
(603) 207-2197
(603) 377-8425

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1675
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110364
MERIDIAN
NH
05
1730522913
ME
05
3087480
NH
Enumeration date
04/08/2013
Last updated
07/30/2025
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