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1295367019
ELLEN J GORDON LICENSED MASTER SOCIAL WORKER PC
PORT JEFFERSON STATION, NY
NPI
1295367019
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Entity Type
Organization
Authorized Contact
ELLEN GORDON
Lcsw
631-649-6278
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2020-02-10
Last Update Date
2022-03-09
Business Address
ELLEN J GORDON LICENSED MASTER SOCIAL WORKER PC
8 ROOSEVELT AVE
PORT JEFFERSON STATION, NY 11776-3337
Phone number: 631-736-7707
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Mailing Address
ELLEN J GORDON LICENSED MASTER SOCIAL WORKER PC
507 EMPIRE AVE
WEST BABYLON, NY 11704-3306
Phone number: 631-649-6278
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