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1023406030
JOHN JOSEPH GORDON,
DANBURY, CT
NPI
1023406030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-12-26
Last Update Date
2014-12-26
Business Address
Mr. JOHN JOSEPH GORDON, CASAC, ICADC
68 VIRGINIA AVE UNIT 7
DANBURY, CT 06810-5764
Phone number: 917-309-2067
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Mailing Address
Mr. JOHN JOSEPH GORDON, CASAC, ICADC
68 VIRGINIA AVE UNIT 7
DANBURY, CT 06810-5764
Phone number: 917-309-2067
Copy
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