STEVEN D GORDON

FARGO, ND
NPI1063652543
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  300757)
Enumeration Date2009-02-24
Last Update Date2022-11-22
Business Address
STEVEN D GORDON LADC
4227 9TH AVE SW
FARGO, ND 58103-2018
Phone number: 701-282-6561
Mailing Address
STEVEN D GORDON LADC
2005 JACKSON ST
SAINT PAUL, MN 55117-1916
Phone number: 651-248-0649
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