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1184323735
CHAD VAN GORDER
FAIRPORT, NY
NPI
1184323735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 106332-01)
Enumeration Date
2023-03-02
Last Update Date
2023-03-02
Business Address
Mr. CHAD VAN GORDER LMSW
5 VANDERBERG DR
FAIRPORT, NY 14450-8427
Phone number: 315-783-7893
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Mailing Address
Mr. CHAD VAN GORDER LMSW
5 VANDERBERG DR
FAIRPORT, NY 14450-8427
Phone number: 315-783-7893
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