Individual
HANNAH GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 S 16TH ST, PHILADELPHIA, PA 19102
(216) 312-3041
Mailing address
1012 N LEITHGOW ST, PHILADELPHIA, PA 19123-1421
(216) 312-3041
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW133361
PA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/27/2017
Last updated
06/15/2018
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