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1013918465
VIRGINIA KLEIN GORDON
NORTHFIELD, IL
NPI
1013918465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149002571)
Enumeration Date
2005-08-09
Last Update Date
2014-11-22
Business Address
-- VIRGINIA KLEIN GORDON msw
464 CENTRAL AVE
NORTHFIELD, IL 60093-3040
Phone number: 847-433-5133
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Mailing Address
-- VIRGINIA KLEIN GORDON msw
PO BOX 813
HIGHLAND PARK, IL 60035-0813
Phone number: 847-433-5133
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