Individual
MONIQUE G GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3895 W RIVER RD, SIDNEY, ME 04330-2434
(207) 547-4464
(207) 547-4686
Mailing address
PO BOX 1805, BANGOR, ME 04402-1805
(207) 631-4403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC13588
ME
1041C0700X
Clinical Social Worker
MC12638
ME
Other
Enumeration date
05/06/2011
Last updated
08/18/2015
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