Individual
MAYA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1016 CREEKVIEW DR, WHITEFISH, MT 59937-8198
(512) 523-5624
Mailing address
1016 CREEKVIEW DR, WHITEFISH, MT 59937-8198
(512) 523-5624
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111337
TX
1041C0700X
Clinical Social Worker
BBH-LCSW-LIC-90179
MT
Other
Enumeration date
10/18/2023
Last updated
07/17/2026
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