Individual
BETH A GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
81 PLANTATION ST, WORCESTER, MA 01604-3023
(508) 849-5600
Mailing address
86 GRAFTON ST, SHREWSBURY, MA 01545-5621
(508) 277-0726
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
211723
MA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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