HOLLY LEE GORDON

MASTIC BEACH, NY
NPI1215169602
Professional NameHOLLY GORDON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NY  079684-1)
Enumeration Date2009-08-18
Last Update Date2025-01-15
Business Address
HOLLY LEE GORDON LCSW
468 MAIN ST
MASTIC BEACH, NY 11951-3407
Phone number: 631-294-0216
Mailing Address
HOLLY LEE GORDON LCSW
110 ALCOLADE DR E
SHIRLEY, NY 11967-3839
Phone number: 631-294-0216
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