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1063786564
JENNIFER E GORDON
ELLENDALE, DE
NPI
1063786564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-03-01
Last Update Date
2012-03-01
Business Address
-- JENNIFER E GORDON
13726 S OLD STATE RD
ELLENDALE, DE 19941-3330
Phone number: 302-424-2080
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Mailing Address
-- JENNIFER E GORDON
13726 S OLD STATE RD
ELLENDALE, DE 19941-3330
Phone number: 302-424-2080
Copy
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