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1104206630
CIMENA GORDON
ROSEVILLE, MN
NPI
1104206630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 16486)
Enumeration Date
2015-05-29
Last Update Date
2015-05-29
Business Address
-- CIMENA GORDON LICSW
2277 HIGHWAY 36 W SUITE 310
ROSEVILLE, MN 55113-3804
Phone number: 651-224-2172
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Mailing Address
-- CIMENA GORDON LICSW
PO BOX 7903
SAINT PAUL, MN 55107-0903
Phone number: 651-224-2172
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