Individual
MS. DEBORAH GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1202 GREENDALE AVE, NEEDHAM, MA 02492-4626
(617) 909-2109
Mailing address
PO BOX 620633, NEWTON, MA 02462-0633
(617) 909-2109
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106917
MA
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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