Individual
GLENNON T GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4545 42ND ST NW STE 201, WASHINGTON, DC 20016-4623
(202) 966-1145
Mailing address
4545 42ND ST NW STE 201, WASHINGTON, DC 20016-4623
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
06/16/2018
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