Individual
MRS. GAIL F GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
330 1ST CAPITOL DR, SUITE 390, SAINT CHARLES, MO 63301-2835
(636) 949-5760
(636) 949-8861
Mailing address
330 1ST CAPITOL DR, SUITE 390, SAINT CHARLES, MO 63301-2835
(636) 949-5760
(636) 949-8861
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000849
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180069
BLUE CROSS BLUE SHIELD
MO
Enumeration date
08/20/2006
Last updated
07/08/2007
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