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1255813796
REBECCA ANN GORDON
RIVERHEAD, NY
NPI
1255813796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY 097198)
Enumeration Date
2018-08-31
Last Update Date
2018-08-31
Business Address
REBECCA ANN GORDON LMSW
208 ROANOKE AVE
RIVERHEAD, NY 11901-2706
Phone number: 631-369-0104
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Mailing Address
REBECCA ANN GORDON LMSW
119 PINE NECK AVE
EAST PATCHOGUE, NY 11772-5727
Phone number: 631-830-5820
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