DIANNE M GORDON

COON RAPIDS, MN
NPI1154544096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  7835)
Enumeration Date2007-04-10
Last Update Date2007-07-08
Business Address
-- DIANNE M GORDON licsw
11427 HANSON BLVD NW
COON RAPIDS, MN 55433-3719
Phone number: 763-754-1531
Mailing Address
-- DIANNE M GORDON licsw
11427 HANSON BLVD NW
COON RAPIDS, MN 55433-3719
Phone number: 763-754-1531