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1275763021
KIM MARCUS GORDON
SLIDELL, LA
NPI
1275763021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 4592)
Enumeration Date
2009-07-14
Last Update Date
2009-07-14
Business Address
-- KIM MARCUS GORDON LCSW
2800 GAUSE BLVD E SUITE B
SLIDELL, LA 70461-4247
Phone number: 504-319-8247
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Mailing Address
-- KIM MARCUS GORDON LCSW
113 HERRING DR
SLIDELL, LA 70461-1113
Phone number: 504-319-8247
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