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1174934764
JASON GORDON
LA MESA, CA
NPI
1174934764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2014-05-16
Last Update Date
2021-04-02
Business Address
JASON GORDON Clinical Social Work
PRIVATE PRACTICE
LA MESA, CA 91944-0010
Phone number: 000-000-0000
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Mailing Address
JASON GORDON Clinical Social Work
PO BOX 10
LA MESA, CA 91944-0010
Phone number:
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