Individual
MS. LAINE MAREN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1599 JONES ST, GRAND FORKS AFB, ND 58205-6306
(701) 747-6463
Mailing address
4757 CURT CIR, GRAND FORKS, ND 58201-8030
(701) 741-2809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09925184
CO
Other
Enumeration date
07/25/2018
Last updated
12/05/2025
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