SUSAN THERESA GORDON

FARGO, ND
NPI1275729881
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  301445)
Enumeration Date2007-09-18
Last Update Date2007-09-18
Business Address
-- SUSAN THERESA GORDON LADC
4227 9TH AVE SW
FARGO, ND 58103-2018
Phone number: 701-282-6561
Mailing Address
-- SUSAN THERESA GORDON LADC
715 11TH ST N
MOORHEAD, MN 56560-2083
Phone number: 218-233-6398
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